EARCOS Leadership Mentoring (ELM) Programme registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This google form is for those interested in being involved in the ELM program as mentors or mentees.

The EARCOS Leadership Mentoring (ELM) program is open to those in leadership positions such as heads of school, principals, learning leaders, etc. wishing to become a mentor, be mentored, or to develop a peer-to-peer mentoring relationship.

Any queries please contact Bill Olread boldread@earcos.org or Chris Jansen chris@leadershiplab.co.nz

Section 1: Logisitics

1) Name *

2) Email address (primary and secondary) *

3) Current school and country *

4) Current position and length of time in that position *

5) Size of current school *

Small (400 students or less)

Medium school (400 to 1000 students)

Large school (over 1000 students)

6) Type of current school *

Proprietary or for profit

Not for profit

Other:

7) Grade level configuration (tick all that apply) *

Early years or Pre-Kindergarten

Junior or Elementary school

Middle School

High or Secondary School

Other:

Required

Section 2: Purpose and preferences

8) What type of role would you like in ELM? (tick all that apply) *

I would like to be mentored (ie be a mentee)

I would like to mentor someone

I would like to be paired with someone where we can mentor each other

Other:

Required

9) Why are you interested in being involved in the ELM program? What do you hope to contribute and receive? *

10) What preference do you have for your mentor or mentee? (ie: experience or skill set, gender, ethnicity, current country, role)

11) Are you prepared to commit to 3-4 hours per month for a year (ie 1-2 sessions per month)? *

Yes

Maybe

12) Any other comments that would help us with the matching process etc?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Leadership Lab. Report Abuse

Forms