ESD-U Field Supervisor Interest Survey
Thank you for your interest in becoming a field supervisor for ESD-U! Please complete the form below, and we will follow-up with you to provide more information.

This paid opportunity includes the following responsibilities:
* Observing pre-service teachers during their field experience
* Providing real-time feedback to pre-service teachers  
* Documenting observations and feedback using the program evaluation tool  
* Collaborating with mentors of pre-service teachers  
* Providing input to program regarding pre-service teacher’s certification readiness
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First Name *
Last Name *
Email *
Phone Number *
Please check all that apply to you: *
Do you hold any of the following endorsements? *
How many years of experience do you have in the endorsement area(s)? *
Please check the endorsement areas you are interested in being a field supervisor for. *
Please provide a brief summary of your experience and background *
Why are you interested in being an ESD-U Field Supervisor? *
Is there anything else you would like us to know?
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