Thank you for participating in Certification Central’s mentoring program!

Your participation will include the following:

•    Meeting virtually at least once each semester, as well as on-demand to meet your specific and timely needs;

•    Observing your teaching once each semester, virtually or onsite;

•    Reviewing the following records: annual teaching evaluation, progress monitoring of at least 2 students (diagnostic report/IWAR,      IEP, quarterly progress reports);

•    Redacting any identifiable information of P-13 students; and

•    Receiving a $250 stipend at the completion of each year.

Your participation is voluntary and may be withdrawn at any time. Information obtained will be used for accreditation purposes only. Information will be reported in aggregate with no identifiable data reported (i.e., names of participants, names of schools).

By submitting this form, you are agreeing to participate in CC’s mentoring program based on the terms listed above.

Please provide us with the following information:

Thank you!