Mentor Connections Online Teaching

Teaching Summary

Please respond to all questions that apply

Are you currently a student?

What degree are you pursuing?

Other

In what area are you studying?

Other

When will you complete your degree?

Total years teaching experience:

Areas of interest for teaching guidance (select any that apply)

Describe your current teaching activities: (200 words or less)

0/200

How can your mentor help you during your video conference? (200 words or less)

0/200

File Submission

Please submit your teaching summary document(s). Please include all information you feel will be most helpful for the mentor session. This document can include: your current teaching scenario, your studio equipment, the teaching practices you would like to explore, the skill or understanding you seek to develop, and/or a summary of any related difficulties.

File upload:

Browse Files

Brief description of files and documents:

Contact Information

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Time Zone

Permissions

Electronically sign each statement below with your initials to acknowledge your agreement and consent.

I have read and agreed to the policies and procedures of Mentor Connections (see below):

Policies and Procedures

I hereby consent to authorize the Frances Clark Center and its mentor to use the submitted video(s) and/or file(s) for this mentorship service and for no other purpose.

I hereby consent to authorize the Frances Clark Center and its mentors to record the video conference with me, as long as it remains confidential.

Options & Pricing

Options

30-minute individual conference$45.00

45-minute individual conference$60.00

60-minute individual conference$75.00

Total $0.00

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Difficulties with this form? Email arucker@francesclarkcenter.org.

Mentor Connections

Options*

Options