Mentor Teacher Application

This application is for general education and bilingual teachers only

First Name*

Last Name*

Email*

School District*

BISD Campus Name*

CSISD Campus Name*

Grade*

Content Area*

Select all that apply

Other content

List specific content taught (e.g. Algebra, Biology, US History, etc.)*

Language in which instruction is given*

Total years experience*

Have you hosted a TAMU student before?*

What type(s) of TAMU students have you hosted?

Select all that apply

Indicate number of days/week you are willing to host Aggie students in your classroom*

Indicate best time time to host student/s*

*Student/s will be half-day observers

Qualifications for hosting a clinical teacher*

To be considered to host a clinical teacher you meet the following required cooperating teacher guidelines:

- 3+ years teaching experience;
- current Texas teaching certification (in primary certification category of clinical teacher);
- accomplished educator (as shown by student learning);
- willingness to complete cooperating teacher training and report clinical teacher’s progress to supervisor;
- commitment to guide, assist and support clinical teacher in planning/classroom management/instruction/assessment/working with parents/obtaining materials/district policies.

List your current teaching certification(s)*

For verification, visit https://secure.sbec.state.tx.us/SBECONLINE/virtcert.asp

ESL Certification*

Do you have a current ESL certification?

Middle Name (for TEA certification look up)*

Maiden Name (for TEA certification look up)*

Are you willing to host an early field student if not assigned a clinical teacher?*

Provide 3 words to describe your teaching style and elaborate/explain*

Describe your classroom setting*

Please share any additional information or requests

Email

This field is for validation purposes and should be left unchanged.