ITC MENTOR FORM

All fields marked with an asterisk * are required.

FIRST NAME
LAST NAME
TITLE

PERSONAL
EMAIL :
GENDER
NATIONALITY:
CURRENT
SCHOOL:
COUNTRY:
JOB TITLE
MAILING
ADDRESS:
Please include international dialing code
PHONE
NUMBER:
MOBILE/CELL
NUMBER
NAME OF THE CANDIDATE THAT YOU ARE MENTORING?

IN WHAT CAPACITY DO YOU KNOW THE CANDIDATE?

HPW OFTEN ARE YOU IN COTACT WITH THE CANDIDATE?

For IB Certificate in Teaching and Learning candidates:

For ITC teachers who intend to apply for the IB Certificate in Teaching and Learning upon
successful completion of the ITC the mentor must be an experienced IB Coordinator, IB Workshop
Leader, IB School Visitor/ authorised IB Consultant, IB Reader, or Principal/Head of an IB
authorised school. Please indicate below your experience and the relevant IB programme/s (tick all
that apply):
IB COORDINATOR
IBPYP
IBMYP
IBDP
IB WORKSHOP LEADER
IBPYP
IBMYP
IBDP
IB SCHOOL VISITOR/AUTHORISED IB CONSULTANT
IBPYP
IBMYP
IBDP
IB READER
IBPYP
IBMYP
IBDP
PRINCIPAL/HEAD OF AN AUTHORISED SCHOOL
IBPYP
IBMYP
IBDP

ITC mentors are expected to act as critical friends to the ITC teacher they are mentoring. This
critical friendship can take the form of encouragement, advice, or coaching. The mentor is expected
to help the teacher with issues like time management or with the making of decisions about the
planning and sequencing of the Standards, among others. The ITC does not stipulate that the
teacher and mentor meet according to a particular timetable, or that the mentor has to be at the
same school (though this is preferable) but does expect that the mentor will be available to the
teacher as needed. The mentoring relationship is not defined as a supervisory relationship; it is
conceived as a friendly and supportive one. For ITC teachers who intend to apply for the IB
Certificate in Teaching and Learning upon completion of the ITC, the mentor also helps to ensure
engagement with the IB Essential Questions as relevant to the ITC Syllabus. At the end of the
teacher's ITC year, the mentor will make a short video in which he/she speaks about the teacher's
ITC experience. This video is submitted with the teacher's final Standard.
Please indicate that you have read and agreed to the above statement:

Please complete all the relevant fields in this form before submitting.
If you have any problems, please contact helpdesk@ecis.org
Fields marked with an asterisk * are required fields.

UK Data Protection Act 1998

The ECIS will process the information collected in this form for the purpose of assessing teachers'
applications to participate in a program for the ECIS International Teacher Certificate. This
information will only be used by ECIS and its partner institutions in the program.
PLEASE SUBMIT TO itc@ecis.org