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Yes , |
I
am interested in participating as a mentee teacher for the Project GATE
Mentoring Program. |
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Name: |
_________________________________ |
Employee #: ________________________ |
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School Name: |
___________________________ |
Work Loc. #: ________________________ |
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School Phone: |
___________________________ |
Fax: _______________________________ |
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Email: |
____________________________________________________________________________ |
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What is your current teaching position? |
___________________________________________________
Specify
exceptionality, grade level, and subjects taught |
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How many years have you been teaching in Special Education?: |
_______________________________ |
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Have you been involved in any previous mentoring programs? If so,
explain |
______________________ |
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______________________________________________________________________________________ |
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______________________________________________________________________________________ |
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In what areas would you be interested in receiving mentoring? |
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______________________________________________________________________________________ |
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______________________________________________________________________________________ |
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How did you complete your special education certification requirements? |
_______________________ |
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______________________________________________________________________________________ |
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______________________________________________________________________________________ |
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Note: A professional development session for mentee teachers will be
held on Saturday, October 6, 2007. Attendance at the session is
mandatory.
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Principal Authorization: ________________________ |
Contact Number: ______________________ |
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Application Deadline: Thursday, September 21, 2007
Please submit to Dr. Denise M. Gudwin, Executive Director, Professional
Development
By fax to: 305-995-2403 OR by e-mail to: dgudwin@dadeschools.net |
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