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Mentor Training Program

Trainer Resume

Content Areas

I am licensed in the following areas: __ Early Childhood __ Middle Childhood __ Early Adolescence __ Adolescence and Young Adulthood __ Early Adolescence Generalist Teachers __ Early and Middle Childhood Generalist __ Elementary (Primary)

__ Elementary (Intermediate) __ English/Language Arts __ Science __ Social Studies __ Exceptional Needs (Special Education) __ Other__________________

 

Personal Information

*Please Print*

Title (circle one): Dr. Mr. Mrs. Ms. Sr.

First Name:

Last Name:

Mailing Address:

City: County: Zip:

Work Address: (if different from above, and please include current employer)

City: County: Zip:

Home Telephone: Work Telephone: E-mail:

Gender/and Ethnic Background (Optional):

Education

Circle All Degrees Achieved	Institution	Major	Year
Bachelor's
Master's
Specialist
Doctorate

Educational Employment History

List below, beginning with your most current position, all of your work experience in the last 10 years.	List the subjects and levels taught for each position, or the grade levels administered.	Beginning and ending dates of employment

*List all teaching, school services, administration, or higher education positions.

Licenses Held

Level/Position	Subjects	State	Valid (Y/N)

Professional Affiliations

Organization/Position Held	Committee Experience	Years of Affiliation

Professional Experiences

Check all the types of experiences listed below which apply to you. ____ I have served as a mentor teacher or university advisor in the Beginning Teacher Induction Performance Assessment Program (BTIPAP). ____ I have attended Scorer's training for the BTIPAP. ____ I have completed a BTIPAP portfolio. ____ I have served as a cooperating teacher or university supervisor for student teaching and field experiences. ____ I have served on an interdisciplinary team of teachers. ____ I have training and experience in educational measurement and assessment. ____ I have participated in a school restructuring effort. (e.g. Indiana 2000, Coalition for Essential Schools, etc.) ____ I have served on a North Central accreditation team. ____ I have served on an NCATE accreditation team. ____ I have training and experience in special education and inclusion. ____ I have training and experience in multicultural education. ____ I have served on a Praxis II validation panel. ____ I have experience working in a professional development or university training school. ____ I have experience working with the development of P-12 subject area standards. ____ I have experience working with the development of content/developmental standards for teachers. ____ I have experience working on state or national education task forces, review panels, committees, etc. ____ Other professional experiences. (Explain on the back of this page.)