Mentorship Application for Teachers Mentor information Thank you for offering to serve as a Mentor in ATA's Mentoring Program. By filling out this questionnaire, you will help us make a good match between mentor and student.Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Website Other online location where a student could see your tapestries What level of experience do you feel comfortable teaching? Beginning tapestry weavers Intermediate tapestry weavers Advanced tapestry weavers Additional comments about the question above.I have taught in the following contexts School Workshop setting One on one Which of the following are you comfortable with? Teaching via email Teaching via Skype Using file sharing programs for sending images Additional comments about the question above.Do you feel qualifed to critique a student's design work? Yes No Additional comments about the question above.Which of the following could you teach? Warping a loom Considerations of warp sett and warp size Considerations in buying a loom Slit tapestry Shape building Eccentric weave Wedge weave Shaped tapestry 3 dimensional tapestry Hachures and hatching Color blending on the bobbin Soumak Twining Incorporating other materials, e.g. beads, feathers into tapestry weaving Finishing techniques Blocking a tapestry Preparing a tapestry for hanging Mounting small tapestries Photographing your tapestry Digital image prep 2D design Designing with a computer Collage Color Theory Making a cartoon Tapestry history Dyeing Additional comments about the question above.Can you make a 6 month commitment to a student? Yes No How often could you be available to "meet" with your student Once a week Every other week Once a month Additional comments about the above question.Student’s Responsibilities A six-month time commitment (could be extended by mutual agreement); Define the area of study; Prepare a list of realistic goals and objectives to complete in six months; Describe any finished project that you hope to complete; Propose a timetable for submitting samples, drawings, etc.; Pay for any expenses incurred during the program; and Submit a final report to the ATA Mentoring Committee. Mentor’s Responsibilities A six-month time commitment (could be extended by mutual agreement); Help the student set realistic goals for this six-month time frame; Provide direction, support and expertise as the student requires; Recommend additional sources for information and tapestry workshops; Evaluate progress during the course of study by critique; and Submit a final report to the ATA Mentoring Committee. I have read the list of student and mentor responsibilties. is there anything else you would like to share with us?Thank you for your interest in the Mentoring Program. I look forward to working with you! PhoneThis field is for validation purposes and should be left unchanged.