Interest in PELSB Facilitated Discussions on Teacher Mentorship
The Professional Educator Licensing and Standards Board (PELSB) has contracted with North American Research & Analysis, Inc. (NARA) to facilitate discussions with state teachers on how to be a good mentor and coach in education, and to develop a mentorship and coaching training program (the Training Program).

NARA is seeking teachers and administrators to participate in three confidential virtual facilitated discussions during the month of May 2019 with 6-10 people in each group, for a total of 18-30 individuals. Two discussions will be focused on teachers, and one will be comprised of administrators. Our goal is to include people who provide many viewpoints on the topic of mentoring. Their input and feedback will be used to design the mentor training program to be flexible in several respects: differentiating between the needs of a wide variety of teachers, and adaptable to the existing policies, infrastructures, and available resources of the numerous school districts in Minnesota. To help create an inclusive and diverse group of participants for the facilitated discussions, NARA is seeking to include individuals from the following groups:

- Teachers who have been a mentor
- Teachers who have not been a mentor
- Teachers who have received mentoring
- Teachers who have not received mentoring
- School Administrators (site and district level)
- Teachers with a variety of area specializations (elementary, secondary, special education, ESL)
- Teachers of color and American Indian teachers
- Teachers who work with different student populations (size and demographic make-up)
- Location (metro and greater MN)
- Charter schools
- Alternative educational settings

In addition, the registration asks voluntary demographic questions on race/ethnicity and LGBTQ identity. All individual responses to the voluntary demographic questions will be confidential and the data only available to NARA staff for the purposes of creating the facilitated discussion groups. Any demographic data shared with PELSB will be at de-identified and aggregate level only for the purposes of reporting the diversity of the applicant pool.

Informational Questions
If you have any trouble filling out this form, or if you have any questions, please contact Jessie Saul, President & CEO, North American Research & Analysis, Inc., jessie.saul@narainc.net, 507-319-2678.
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Name of school where you teach or are an administrator. If you are a school district level administrator please indicate "n/a" for your response. *
Your answer
Name of school district *
Your answer
Please indicate the type of school. If you are a school district level administrator please indicate "n/a" for your response. *
Please indicate your role in the school/school district. *
Required
What Minnesota Teaching license(s) do you currently hold? *
Your answer
Are you currently a teacher mentor in your school and/or school district? *
If you are a teacher mentor, how many years have you been in this role?
Your answer
If you are a teacher mentor, what mentor trainings have you attended?
Your answer
Optional Question: To ensure we have an inclusive and diverse group of participants please indicate your race and ethnicity (All individual responses will be kept confidential). If you prefer not to indicate your race and ethnicity please respond "n/a" or you may choose to skip the question.
Your answer
Optional Question: To ensure we have an inclusive and diverse group of participants we are asking if you identify with the LGBTQ community? (All individual responses will be kept confidential). You may choose to skip the question.
Please choose which virtual facilitated discussion(s) you will be able to attend. Check all dates that work for your schedule. Note: To participate in the discussion you will be able to join either via computer or phone. No travel is required to participate. *
Required
I understand that completing this interest form does not guarantee I will participate in the facilitated discussions. I understand facilitated discussion participants will receive a confirmation email. *
Required
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