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* 1. Please provide your first name

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* 2. Please provide your last name

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* 3. Please provide your email address

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* 4. Please share your pronouns

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* 5. What is the name of the school you work for?

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* 6. What ISD/ RESA is your school a part of?

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* 7. What district is your school a part of?

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* 8. What grade level(s) do you teach? Select all that apply.

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* 9. What teaching certifications do you currently hold?

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* 10. How many years of experience do you have as a teacher?

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* 11. When you consider your personal and familial cultural values, traditions, and practices, what labels best describe your ethnicity?

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* 12. Please attach a copy of your resume

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 13. Please attach a copy of your most recent summative teacher evaluation rating (with notes)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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Please provide contact information for a personal reference below. If possible, this person should be a building / district administrator.

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* 14. Reference Name

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* 15. Reference email

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* 16. Reference phone number

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* 17. Reference job type

Long Answer Questions - Please provide a written response to the questions below. Refer to the Mentor Teacher Job Description for role information to support in writing your responses. (Talent Together Mentor Teacher Job Description)

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* 18. Provide a brief description of your interest in becoming a Mentor Teacher through Talent Together.

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* 19. Reflect on a time in your own professional educational experience where you demonstrated a commitment to Diversity, Equity, Inclusion, and Belonging (DEIB).

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* 20. How do you use research-based practice and data in your instruction?

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* 21. Think about the beginning of the school year. What steps would you take to create a welcoming and inclusive environment for your Apprentice Teacher?

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