Application Packet

Please complete the following forms:

  1. Mentor Application
  2. Professional Recommendation Form​ from someone with whom you have had a consulting relationship (regular education teacher, special education teacher, related service personnel, parent, O&M Instructor, etc.)
  3. Supervisor Recommendation Form​ (If self-employed, this requirement is waived).

We are available to contact your administrators if they have questions about the program.  We will be contacting your supervisor to answer questions about the program.

If you have any questions, please contact:
Alisha Ragainis
Phone: (608) 758-6151
Toll Free: 1-866-284-1107 x6151
Email: alisha.ragainis@wcbvi.k12.wi.us