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* Required Form *

Please complete this form to submit a recommendation for an educator, whom you supervise and have shared this resource with, to participate in the 2024-2025 Minnesota Mentor Program. If you have any questions, please contact Ann Mayes at Ann.Mayes@brightworksmn.org or (612)638-1527.

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* 1. The name of the protégé you are recommending for participation in the Minnesota Mentor Program:

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* 2. The low-incidence disability teaching license the protégé holds or will hold:

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* 3. Your Name

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* 4. Your Email

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* 5. Your supervisor position/title

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* 6. School District

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* 7. Please consider and check the following when recommending this protégé for MMP:

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* 8. Please briefly explain why you are recommending this individual to be a protégé in the Minnesota Mentor Program.

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