ND RISE KickUp Administrator Enrollment Form 25-26

Administrator Enrollment: ND RISE's Professional Learning Events 25-26

Please follow the instructions below!
KickUp is the system ND RISE uses to manage professional learning event registrations. Please fill in the details below to sign up one of your mentor and beginning teacher pairings.

If you are hoping to register multiple mentorship pairs, please submit a form for each pair. An email will be sent to the mentor and beginning teacher for whom you share an email, and they will both be prompted to register for KickUp.
Your Full Name (First and Last Name)*
Your Email *
I am registering my staff for mentorship and...*

I know the mentor and beginning teacher.I know the beginning teacher, but I am working on selecting a mentor.
If you know the beginning teacher, but do not have a mentor selected, view the ND Rise Mentor Teacher Bios. If you find a mentor who would match your beginning teacher, please reach out to Erin Jacobson to verify availability of the mentor.
What type of school do you work as an administrator for?

Public SchoolPrivate SchoolSpecial Education UnitBureau of Indian Education SchoolOther
Mentor's First Name*
Mentor's Last Name*
Mentor's Email *
This will be the email they will always use to log in. If possible, use school email.
Mentor's School District (Type to search. Please select "Not listed" if your district is not listed below.):
If not listed, please specify the mentor's school district:
Mentor's School Building (Type to search. Please select "Not listed" if your district is not listed below.):
If not listed, please specify the mentor's school building:
Mentor address:
Beginning Teacher's First Name*
Beginning Teacher's Last Name*
Beginning Teacher Email *
This will be the email they will always use to log in. If possible, use school email.
Beginning Teacher's School District (Type to search. Please select "Not listed" if your district is not listed below.):
If not listed, please specify the beginning teacher's school district:
Beginning Teacher's School Building (Type to search. Please select "Not listed" if your district is not listed below.):
If not listed, please specify the first year teacher's school building:
Beginning teacher address:
How many years of experience does the beginning teacher have?

1st Year2nd YearOther
Please reference this link if you are unsure what your REA should be.
What is the beginning teacher's REA?

Central Regional Education Association (CREA)Red River Valley Education Cooerative (RRVEC)South East Education Cooperative (SEEC)North Central Education Cooperative (NCEC)Western Education Regional Cooperative (WERC)Northeast Education Services Cooperative (NESC)I don't know my REA.
What teaching standard is used by this beginning teacher?

DanielsonMarshallMarzanoI don't know.Other
What is the content area of this teacher? (Please choose all that apply.)

Pre-KElementary All Subjects (1st Grade)Elementary All Subjects (2nd Grade)Elementary All Subjects (3rd Grade)Elementary All Subjects (4th Grade)Elementary All Subjects (5th Grade)ELAMathScienceSocial StudiesCounseling/Social WorkSpecial EducationGymMusicArtBusiness/ FACSInterventionistLibrary/ MediaCommunicationsTechnologyAgricultural EducationHealth Sciences EducationTrade/Industry EducationBusiness Ed/MarketingFACSOther
Please reference this link for more information on licensures.
Please choose the licensure from this list that represents the license of this teacher:

Teaching LicenseAlternate Access LicenseAmerican Board LicensureTeaching PermitSchool Counselor LicensureSchool Psychlogist LicenseSpeech Language Pathology LicensureCTE LicenseI am unsure of what type of license.
Should be Empty:

Administrator Enrollment: ND RISE's Professional Learning Events 25-26