Application for Mentorship
Thank you so much for applying to be a mentee in our program. Please note, that this program is voluntary. We will do our best to match you with a mentor that fits your needs.
Sign in to Google
to save your progress.
What is your last name?
What is your first name?
Years of formal, district-contracted, full-time teaching experience:
Less than a year
15 + years
Which of the following levels are you currently teaching? (Please choose all that are applicable)
Middle School (6-8)
Classes and ensembles currently taught: (please choose all that are applicable)
Small Instrumental Ensembles
My current teaching environment is best described as:
In which region of the country are you located?
Eastern Division [CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT]
North Central Division [IL, IN, IA, MI, MN, NE, ND, OH, SD, WI]
Northwestern Division [AK, ID, MT, OR, WA, WY]
Southern Division [AL, FL, GA. KY, LA, MS. NC, SC, TN, VA, WV]
Southwestern Division [AR, CO, KS, MO, NM, OK, TX]
Western Division [AZ, CA, HI, NV, UT]
What is the name of your school (including HS, MS, Elem, University)?
What is the name of your school district?
What type of degree(s) and/or certifications do you hold?
Which categories describe your top three needs or interests?
Lesson Planning and Score Study
Specific Instrument Pedagogy
Techniques for Building Relationships
Band Booster or Parent Organizations
Concert/Performance Preparation and Traveling for Performance
Fundraising and Building Financial Support (Donations)
Additional Professional Development
Mentor Evaluations with people in your school
Student Learning Objectives (SLO)
Incorporating Common Core
As a mentee, what would be the most effective way for you to receive feedback? (please check all that apply)
In Person Meetings
Do you have experience with video conferencing services such as: FaceTime, Skype, or Google Hangouts?
Scheduling: Please choose all that apply.
I teach homogeneous sectionals.
I teach mixed instrument sectionals.
My classes are split by grade-level.
My classes are split by ability-level.
I am a traveling teacher.
Where did you hear about the Dr. William P. Foster Mentorship Initiative?
Referred by a friend or colleague
Referred by an administrator
National Band Association (NBA)
NAfME (National Association for Music Education)
CBDNA (College Band Directors National Association)
Music for All
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service