Butte Teacher Induction Application: Candidates
Welcome to Butte County Office of Education's Teacher Induction Program! We are extremely excited to embark upon this learning journey with you as you continue to grow as a professional educator. Our Butte Teacher Induction Program is designed for General Education (Multiple & Single Subject) and Education Specialist teachers that hold a preliminary teacher credential and are wanting to obtain a clear teaching credential.

We appreciate you taking the time to complete this form as this information will ensure a smooth transition into our program and provide us with needed information as we match mentors and candidates.

Please do not hesitate to contact us if you have any questions or concerns as we are here to support you.

Tracey Allen
Senior Director of Professional Learning
tallen@bcoe.org
530-532-5730

Email address *
Applicant Information
The following information is vital for enrollment in the Butte Teacher Induction Program. Please complete the entire form.
First Name *
Your answer
Last Name *
Your answer
Maiden/Other Name
Your answer
Home/Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Social Security Number (This allows us to fully view your record on the CTC website and advise you on your credential requirements.) *
Your answer
Demographic Information
Assembly Bill 677 requires the Commission on Teacher Credentialing (CTC) to collect gender identity and sexual orientation information in the course of regular collection of demographic data.
Gender *
Sexual Orientation *
Race/Ethnicity (check all that apply) *
Required
Please indicate where you completed your preliminary teaching preparation. *
Professional Information
Will this be your first or second year of Teacher Induction? *
Please indicate the type of credential you currently hold: *
Required
If you hold a Single Subject Credential or Education Specialist: Other Credential, please indicate the subject/specialty area.
Your answer
Credential Document Number (This can be found on the CTC website.) *
Your answer
If you hold a second credential, please indicate the type of credential you currently hold:
Second Credential Document Number (This can be found on the CTC website.)
Your answer
If you hold a Single Subject Credential or Education Specialist: Other Credential, please indicate the subject/specialty area.
Your answer
Employment Information
Name of School District *
Your answer
Name of School Site *
Your answer
School Address (street, city, zip) *
Your answer
Grade level/assignment type *
Your answer
If applicable, how many years have you been teaching?
Your answer
Principal/Site Administrator *
Your answer
Principal/Site Administrator's Email *
Your answer
Payment Information
Please select a payment option: *
Disclaimer
I understand that completing the induction program to clear my teaching credential is my responsibility. If I do not hear from the Butte Teacher Induction Program within the first 30 days of me submitting this form, I will make contact with the program to inquire about my status in the program by contacting Tracey Allen at tallen@bcoe.org *
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