Mentor Application

Teachers who become mentors typically desire to support new teachers so that new teachers do not go through the same experiences as they went through their first year and/or because they have a passion to share good teaching.

Qualities and Qualifications

• have a minimum of three years of effective classroom teaching.
• recognized as an exemplary Lutheran teacher and a Christian role model by administrators, colleagues, and community
• demonstrates the ability to actively listen and collaborate with all members of a school community.
• actively participates in ongoing professional development

Mentor Interest Form

Mentor Application Form

Biographical Information

First Name *

Middle Name

Last Name *

Preferred Email Address *

Phone Type * Home LandlineWork LandlineMobile

Phone Number *

Professional Information

Certification and State Licenses *

Recency of Education Experience *

Dates, position/capacity/duties, and WELS school where you worked most recently.

Retirement Status * ActiveRetiredInactive

Retirement Status Information *

If "Retired" please include date of retirement. If "Inactive" please include short description.

Teaching Experience (Years) *

Current District Teaching In *

Areas Taught *

Early Childhood

Elementary (K-6)

Middle School (6-8)

High School

Other (provide explanation)

Check all that apply.

Other Areas Taught *

Degrees Earned *

Univeristy/College name, location, and degree earned.

Reference from a Colleague

Reference Full Name *

Reference Email Address *

Reference Phone Number *

MLC 2013
WELS 2012
SEWNTP 2009
NTC 2007