Site Leader Endorsement for PUC Induction Mentors 2020-2021
Use this form to endorse your teacher(s) to be a mentor in the PUC Induction program. Please submit a new form for each new mentor that you would like to recommend. For Questions 5-10, select the description that best fits the teacher you are endorsing and include any additional information in the comments section at the end. If you have any specific questions about this endorsement please email program coordinator, Allison Brown at
1. First and Last Name:
2. Role (e.g. Principal):
3. School Site:
4. First and last name of the teacher you are endorsing:
5. How long have you worked with this teacher?
Less than one year
More than three years
6. Rate this teacher's knowledge of the context and the content area of their teaching assignment.
Exemplary: Designs and implements comprehensive curriculum with multiple and varied instructional strategies and resources to support in depth studies of content and promote high levels of understanding and engagement for all students.
Proficient: Implements the curriculum using a variety of instructional practices and supplemental resources. The context of the class is considered along with the curriculum to improve student understanding and engagement.
Basic: Limited knowledge of the context and content.
7. Rate this teacher's demonstrated ability using data to drive collaboration.
Exemplary: Engages in and facilitates collaborative learning communities focused on providing quality instruction and optimal learning for the full range of students. Conversations are based in variety of data sources.
Proficient: Collaborates and reflects with colleagues to improve teaching practice and student success. Some data is used.
Basic: Limited collaboration with others and limited data analysis.
8. Rate this teacher's demonstrated commitment to continued professional learning and reflecting on feedback.
Exemplary: Actively participates in school-wide PD and reflects meaningfully on professional feedback. Independently seeks opportunities for continued professional growth and development.
Proficient: Participates in school-wide PD and is responsive to professional feedback. Responds with openness and interest to new opportunities for professional growth and development.
Basic: Limited or passive participation in school-wide PD and/or has demonstrated reluctance to reflect on or implement feedback.
9. Rate this teacher's ability, willingness, and flexibility to support others.
Exemplary: Eagerly takes on challenges to best support teachers with willingness and flexibility. Actively listens and collaborates to problem solve.
Proficient: Takes on challenges with some initiative and occasionally approaches tasks with flexibility and varied approaches.
Basic: Limited strategies to collaborate and support others.
10. Rate this teacher's reflection and growth mindset towards themselves, students, and colleagues.
Exemplary: Maintains ongoing reflective practice and action research in supporting student learning and raising the level of academic achievement. Engages in and fosters reflection among colleagues for school wide impact on student learning.
Proficient: Fluctuates between growth mindset and fixed mindsets towards self, students, and colleagues. Engages in reflective conversations that are guided.
Basic: Fixed mindset approaches to self, students, and colleagues. Limited accuracy in reflection.
Please provide any additional comments relevant to this teacher's potential performance as an induction mentor:
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Partnerships to Uplift Communities.