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Fill out the online Application Form
Name: 
 

Email:
 

Building: 
 

Grade Level Assignment (K-6): 
 

Check below those items that apply:


I have been a mentor in the past. (Indicate Phases and number of years)



I have never been a Mentor.
I would like to be a Phase I, III, and IV Mentor.
I would like to be a Phase II Mentor only.
I would be willing to be a Mentor for all four Phases.

 

Why are you interested in becoming a Mentor in the Professional Development School and what skills/characteristics do you bring to the experience?

 
 



Please wait for the form to be processed. When it is completed, you will receive visual confirmation.
 
 
 
 
 



Pekin Public Schools District 108
501 Washington Street
Pekin, IL 61554
Phone: 309.477.4740
Fax: 309.477.4701

This page was last updated on Friday, April 15, 2005
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