PUC Induction Mentor Application 2020-2021
Thank you for your interest in being a mentor with PUC Induction. Both new and returning mentors are asked to complete this application. Returning mentors will answer abbreviated application questions.
Due August 1, 2020
PART I: Background Information
First Name (same as listed on credential):
Last Name (same as listed on credential)
Email Address (School Email)
Job role for upcoming school year: (e.g. 10th Grade Science Teacher)
Total years teaching
More than 10 years
Select the grade levels you have had experience teaching:
Select the content areas you have had experience teaching:
Elementary Multiple Subjects
English Language Development
What type(s) of credential do you have? Check all that apply.
Clear Single Subject
Clear Multiple Subject
Clear Education Specialist
Clear Administrative Credential
Preliminary Adminstrative Credential
Arts in Action
Collegiate Charter High School
Larchmont - Fairfax
Larchmont - Hollygrove
Larchmont - La Fayette Park
Larchmont - Selma
Mullticultural Learning Center
MS College Prep
New Los Angeles
PUC CALS MS
PUC CALS HS
Synergy Charter Academy
Synergy Quantum Academy
Synergy Kinetic Academy
How many years have you been a coach or mentor?
I have not coached teachers before. This may be my first time.
More than 10 years
Select the type(s) of training you have received as a coach/ mentor.
Art of Coaching - Elena Aguilar
Mentoring Matters: Laura Lipton and Bruce Wellman
Instructional Coaching with Jim Knight
Teach Like A Champion: Trainers Training
Having Hard Conversations with Jennifer Abrams
New Teacher Center Mentor Trainings
Are you a returning mentor or new mentor to PUC Induction?
PUC Induction Mentor Teacher (Returning) and/or ATP Mentor (Returning)
PUC Induction Mentor Teacher (New to PUC Induction and/or New to Coaching and Mentoring)
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