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Learning to be a School Leader
- Learning to be a School Leader in Ireland
- Graphic of the Continuum and Video
Mentoring Intro
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Mentor Registration

Section 1: Personal Details

jid

First Name

Surname

Full Name

Home Address 1

Home Address 2

Home Eircode

County

The email address used here will serve as your login username.
Please set an account password too and record it somewhere safely.
You will be able to access and amend the details in this form in the future by logging in with these details.

Email Address

Username

Password

Confirm Email

Mobile Number

Teaching Council Number

Male/Female

Section 2: School Details

Cohort

School Roll No

School Type

Enter School Roll above or enter "None" if you are retired

School Name

School Address 1

School Address 2

School County

School Eircode

Local Education Centre

Number of teachers who are/were in your school

Number of Support Teachers based in your school included in the above

Please indicate if your school is part of the DEIS programme

No Yes

Date of appointment to postition of Principal

Principal Type

Number of years a principal (include in other schools if applicable)

Number of years either as a Principal or Teacher in special/ hospital school if applicable

Number of years a deputy principal, if applicable

If you are currently an administrative principal, please specify the number of years you worked as a teaching principal, if applicable

Are you an internal or external appointment?

School Sector

School Patron

Number of pupils in your school

Please tick as many boxes as are appropriate to your context:

Newly established school

No Yes

Developing school

No Yes

Gaelscoil / Gaelcholaiste

No Yes

Scoil sa Ghaeltacht

No Yes

Special school

No Yes

Hospital school

No Yes

Rural school

No Yes

Urban school

No Yes

Co-educational

No Yes

Girls only

No Yes

Boys only

No Yes

Infant school

No Yes

Junior school

No Yes

Senior School

No Yes

New building project

No Yes

Private school

No Yes

Mainstream school and special class(es)

No Yes

Special Education Classes in your school – ASD, Speech and Language, Learning Disabilities – please specify number and type

Learning Disabilities Classes

ASD Classes

Number of Special Needs Assistants

Are there any specific circumstances that would prevent you from mentoring in a particular school / area. ( if you would prefer to discuss these circumstances separately please contact office@cslireland.ie

Section 3: Preferences

Are you happy to work with a mentee through the medium of Irish?

No Yes

Are you happy to work with a mentee who has a large number of special classes

No Yes

Are you happy to work with a mentee who works in a Special School

No Yes

Are you happy to work with a mentee who works in a hospital school?

No Yes

I consent to receiving CSL free text alerts

No Yes

I consent to my data being shared with the IPPN / NAPD in relation to Group Mentoring

No Yes

Please tick if you would like to remain on the CSL Mentor mailing list to receive correspondence regarding Mentoring and Professional Learning Days?

No Yes

Describe your mentoring status:

Are you available for one to one mentoring in the next school year 2020 / 2021? Yes / If No, we would appreciate if you would tell us why. Thank you.

No Yes

Reason if No

Please state the preferred geographic area/counties in which you would be available to mentor to a new principal

Preference 1

Preference 2

Preference 3

CSL organises photos and video clips of Professional Learning Days. This includes photos and videos of speakers, workshops and activities. Your image may be included in these recordings. The team then uses these photos and videos to:

a. Record events in the photo gallery section and home page of the CSL website
b. Provide resources for mentors in the Mentors’ Area of the website
c. Tweet images of the Professional Learning Days from the CSL Twitter account

We wish to seek your permission for the possible use of your image for the reasons listed above and to adhere to GDPR regulations. I wish to give my permission to the CSL team to use my image from photos and videos recorded at CSL events on the CSL website and on Twitter. Please tick the box provided if you wish to give your permission.

I give Permission

No Yes

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