CONFIDENTIAL REFERENCE FORM Date Due: June 2, 2008

Name of Applicant:

The above applicant has asked to be considered for the role of 'mentor' of new teachers at the SVCSD. A mentor is expected to:

• Build trust and rapport
• Provide encouragement and support

• Provide information regarding procedures, routines, and guidelines of the building and district;
• Assist new teacher in creating a welcoming, efficient, safe classroom environment that encourages sound pedagogical practices and follows building guidelines
• Provide direction in collecting and organizing materials and resources for teaching and learning
• Encourage and support new teacher participation in content, team, and professional development workshops, both within district and outside the district
• Schedule time for collaborative planning
• Share successful ideas, practices, and strategies
• Assist with goal setting, reflection, and continuing professional growth
• Maintain a mentoring record that documents mentoring activities
• Assist mentee in defining needs and concerns
• Provide clear, specific, and timely feedback
• Collaborate in problem solving

Please comment about this candidate's qualifications to fulfill these roles:

References must be received in the SV District office NO LATER than June 2, 2008.

Mail to: Assistant Superintendent, Susquehanna Valley CSD, P.O. Box 200, Conklin, NY 13748