OCSEF CalTeach Mentor Match Program: Teacher Interest Form A program partnership between UCI CalTech Pre-Service Program and the Orange County Science and Engineering Fair Please enable JavaScript in your browser to complete this form.Teacher's Name *FirstLastNumber of Years Teaching Science/STEMCurrent Teaching AssignmentSelectJunior HSMiddle SchoolHigh SchoolSchool NameSchool AddressSchool Phone #Personal Cell #% Students on Free/Reduced LunchSchool Demographics (%): White Selected Value: 0 School Demographics (%): Black Selected Value: 0 School Demographics (%): Hispanic Selected Value: 0 School Demographics (%): Native American Selected Value: 0 School Demographics (%): Asian Selected Value: 0 School Demographics (%): Multi-Ethnic Selected Value: 0 District NameEmail *I am interested in being a mentor to a UCI CalTeach student completing 25-50 hours of fieldwork in my classroom as well as working with me and my students on OCSEF. Please send me more information.PhoneSubmit
