APPLICATION FOR LEADS COACH/MENTOR)
Thank!you!for!your!interest!in!becoming!a!Faculty!Coach!or!Mentor!at!Howard!College.!!You!may!have!the!
opportunity!and!privilege!to!encourage,!engage!and!support!students!as!they!begin!their!educational!journey.!!
All!applicants!must!have!an!endorsement!from!their!supervisor.!!It!is!the!intent!of!the!Howard!College!Junior!
District!to!provide!equal!employment!opportunity!for!all!persons!regardless!of!race,!color,!national!origin,!sex,!
disability,!age,!religion,!veteran’s!status!or!any!other!protected!class.!
",+/'(!#)0!&!)1)"#,!/,)"+$(&)
#234)(256 *7834)(256 -799:6)$;7472:)
"<3747<;)$;468634:!!□!!!Coach!□!!!Mentor!
!=29657=).628>!Fall!2019!-!!Spring!2020!
B634)%<;42=4C!!□!PHONE!□!EMAIL!
D7E?634)06E866)!4427;69>))
%@886;4)#<=247<;>!!□!Big!Spring!□!Lamesa!
□ San!Angelo!□!SWCID
!G682E6)%<@836)#<29)H7I)2FF:7=2A:6J>)
!862H3J)<I)$;468634>)
□ Health!Sciences!!!!!□!Business/Industry!!!!!□!Arts/Humanities!!!!!□!STEM!!!!!!□!Public!Service!!!!!!□Undecided
If selected, applicant must participate in all training activities and meetings, including those required
outside the regular academic schedule. Applicant must have satisfactory attendance.
D2G6)L<@)8629)4?6)M<A)963=87F47<;)<I)4?6)F<3747<;)L<@)286)2FF:L7;E)I<8C!!!□!!YES!!!□!!NO!
,//!.)NO,/&$'(/)1)O/,)/O""#,-,(&!#)/D,,&/)$*)(,,0,0P)
":6236)F8<G796)2)A876I)3@5528L)<I)L<@8)6QF6876;=6)7;)4?6)I76:9)<I)?7E?68)69@=247<;P)
":6236)6QF:27;)L<@8)7;468634)7;)A67;E)2)%<2=?R-6;4<8)7;)4?6)D%)#6293)F8<E825P)