Superintendent Verification of Mentored Experience
The Superintendent Verification of Mentored Experience form may be used for all Initial certificate holders employed in the district as they complete the district’s planned mentored experience or receive a waiver to this certification requirement in accord with Commissioner’s Regulations. It is suggested that one copy of the completed form be retained in district files and a copy be provided to the certificate holder.
The certificate holder should submit his or her copy of this form either at the time of completion of the mentored experience or at the time of application for the Professional certificate to:
Office of Teaching Initiatives
New York State Education Department
5N Education Building
Albany, New York 12234