Teacher Induction Program
Application Form
Oklahoma Department of Career and Technology Education

Use one application for each teacher

Please refer to the Teacher Induction Cost Scale for payment.

Technology Center/Skills Center Campus:
Teacher   Social Security Number --
Date of Hire ,   Teacher Certificate Level    
Resident Teacher Program PID  
Trade Area:    
Resident Teacher E-mail 
Local Instructional Mentor's Name
Local Instructional Mentor's Trade Area 
Local Instructional Mentor's E-mail Address
Local Instructional Leader's Name (Administrative Level) 
This application will register your instructor for the Teacher Induction process.  A fee will be invoiced to your school.  A stipend of $500.00 will also be provided to the Local Instructional Mentor.  A university representative will contact you to initiate the induction process with your local instructor.

Superintendent/Designee's Signature 
    (You may type in the Superintendent or designee's name.  However, this will be considered a signed document upon submission.)

Your Email Address

Date submitted  ,

Return by the third Friday in August to:

Lynn Hughes, Process and Planning Specialist
Instructional Services Division
Oklahoma Department of Career and Technology Education
1500 West Seventh Avenue
Stillwater, OK 74074-4364.
Please fill out the document, print it, and mail it to Lynn at the address above OR fax it to her at 405-743-6871.

For ODCTE Use

Name

E-mail Address
Teacher Education Rep & Institution    
   
ODCTE Assigned Program Specialist    

 

This Web site is maintained by tharr@okcareertech.org
Last Update 07/21/2005
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