Mentoring/Coaching Request Form

Request one-on-one mentoring/coaching with a Southern Regional ETTC instructor. Topics, content, pace and scheduling will be at the mutual convenience of the teacher, the school district and the ETTC.

Coaching/Mentoring costs a flat rate of 7 ETTC Hours per hour per mentor or $178 per hour per mentor for onsite assistance at a member school or at the SRI & ETTC Facility. For non-members a flat rate of $178 per hour per mentor will be charged. The school district is not allowed to assign more than 5 people to the mentor. For groups larger than 5, we suggest arranging a customized workshop.


* Specialty Rates may apply in some cases due to the nature of the request.

If you have any questions or need information, please contact Faisal Youhari at: Faisal.Youhari@stockton.edu

 
 
First Name: 
Last Name:
Mentoring/Coaching Information:
.  

Topic: 

Availability:

(Please list any times, days, and/or dates you are available)

School/Organization: 
Home Phone: 
E-mail: 
Comments:

 

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