FCSS Teacher Induction: Notice of Enrollment

Current Participating Teacher Information
Participating Teacher Credential Information
Induction Coach Information
Acknowledgement
Complete

Induction Eligibility Criteria:

Teachers with a valid California Preliminary/Level I Credential or teachers with an out-of-state credential and less than 2 years of out-of-state experience are eligible for induction.
Candidates with SB 2042 Preliminary Credentials are required to complete a state-approved Induction Program in order to earn their California Professional Clear Credential.

Within 15 days of hire, a district HR Representative must submit this form.

For questions please call Rachel Miller, Teacher Development Content Coordinator, at (559) 774-6081.

Participating Teacher Information

First Name

Middle Name

Last Name

School Email Address

This will be used to create the Participating Teacher's Induction account in our program!

Confirm Email

Personal Email Address

Optional – May be used as an additional means of contact.

Induction Program

Program Transfer

If a teacher has started Teacher Induction in another district, they are considered a Program Transfer. Please note that years as an Intern do not count towards the Induction Program.

If Transfer, Indicate Year 1 Induction Program/County

Teaching Experience

First year beyond student teaching

Has previous teaching experience

Unsure

Participating Teacher Personal Information

Last 4 of Social Security Number

Date of Birth

Gender

Race

African American

American Indian

Asian (Chinese, Japanese, Korean, Vietnamese, Asian Indian, Laotian, Cambodian, Filipino, Hmong)

Hispanic

Pacific Islander (Hawaiian, Guamanian, Samoan, Tahitian)

White/Caucasian

Decline to State

Residential Address

City

State

ZIP

Phone

Employment Information

FCSS Employee

Is this teacher currently employed by Fresno County Superintendent of Schools?

FCSS Site Admin Name

Please provide the full name of the FCSS admin.

School

Start typing the School name to search. School and district are shown together.

Your confirmation email will contain information about this school. Please review that information and contact us if any changes are necessary.

School Subject(s)

School Grade Level(s)

Hire Date