PUC Induction Program: Mentor Application 24-25

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Thank you for your interest in being a mentor for the PUC Induction program. Both new and returning mentors are asked to complete this application. Returning mentors will answer abbreviated application questions.

Please see the Mentor Application Rubric in the Handbook.

Email *

Email Address (Work Email) *

First Name (as listed on your credential): *

Middle Name (as listed on your credential):

Last Name (as listed on your credential): *

Preferred Name (if different from your legal name)

School *

Do you serve in ANY evaluative position (hiring and firing teachers)? A person in an evaluative position may NOT be a mentor as induction is purely intended for professional growth.
*

Yes (You are not eligible to be an induction mentor)

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