Western Dubuque County Community School District
Mentor Teacher Recommendation
6/17/2019
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Reference for: *
First Name
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Last Name
Completed by: *
First Name
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Last Name
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The individual named above is interested in serving as a "Mentor Teacher" for Western Dubuque Community School District. We appreciate your time and effort in completing this form. Please feel free to make additional comments in the box at the end. Recommendation forms are confidential.
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Please use the following scale to rate the applicant: 1 = Seldom; 2 = Usually; 3 = Frequently; 4 = Consistently; N/O = Not Observed
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Reflect on applicant's ability to:

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1. Use collaborative planning time wisely by sharing ideas and resources
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2. Work effectively with new teachers
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3. Personally use effective communication skills through face to face, emails, phone calls, etc. with all colleagues, parents, and other stakeholders.
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4. Effectively use technology in instruction
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5. Use varied teaching strategies (esp. those focused on by our district)
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6. Be flexible and comfortable in change
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7. Provide emotional support to new teachers throughout their first two years.
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8. Provide on-going constructive feedback to the new teacher
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9. Ability and willingness to engage in difficult conversations
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10. Provide opportunities for the new teacher to demonstrate growth and improvement, and work with new teacher on goal setting.
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11. Remain confidential and professional in all interactions
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I have worked with this applicant for XX (months, years) in the following capacity
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Evaluation of work experience
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Considering the applicant's overall special abilities, ambition, and determination, please indicate your recommendation for Mentor Teacher status:
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Additional Comments
Routing Instructions
Please route this form to Kelly Simon
Complete the information below to route your form. * Indicates Required Fields
Send to Approver:  
No approver has been assigned to this form, please contact your District Forms Manager.