Mentor Registration for 2024-2025 Mentorship Program

This registration form is dedicated for experienced regulated members looking to mentor someone. The information is collected for the sole purpose of the CASS Mentorship Program, including access to mentorship resources and tools, and for earning credit through the Continuing Education Program.

Salutation

First Name(Required)

Last Name(Required)

Email Address(Required)

Work Phone(Required)

Mobile Number(Required)

School Authority(Required)

If other, please specify

Zone(Required)

Current Designation/Position(Required)

Designated Areas of Responsibility / Scope of Current Duties(Required)

Years in Current Designation/Position(Required)

Mentor Participation Checklist

You must be able to check all to be eligible to become a Mentor.(Required)

Is presently employed in Alberta as a system education leader

Is a regulated member of CASS

Is familiar with the the College of Alberta School Superintendents Act (CASS Act)

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