Workshop Application

Building Strong Geoscience Departments > Workshops > 2008 AGU Heads and Chairs > Workshop Application

The AGU Heads and Chairs Workshop will be offered on Sunday, December 14, 2008 in association with the AGU Fall Meeting. All Earth and Space Science heads and chairs are invited to the workshop.

The application deadline is November 24, 2008. Applications received after the deadline will be accepted only if space is available.

Complete the following form and click on SUBMIT to confirm your registration. Be sure to hit the SUBMIT button before leaving this page or your information will be lost.

Contact Information
First Name:
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Last Name:
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Department:
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Institution:
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Address:
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City:
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Select a State:

Zip Code:
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Phone:
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email:
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Question SetWhat are the top challenges facing you as department head or chair?
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What are the two or three goals you (as head or chair) have for the department in the next year or two?
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Please select your top three choices for the morning breakout session.
First choice

Second choice

Third choice

DemographicsGender:
Male

Female

Ethnicity (choose one):
Hispanic or Latino

Not Hispanic or Latino

Race (select one or more):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Disability status (select one or more):
Hearing Impairment
Visual Impairment
Mobility/Orthopedic Impairment
Other
None

Number of years as department chair or head:
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Number of faculty in the department:
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Discipline:

or Other discipline:
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Are you at an institution that serves a large number of minority students?:
Yes

No

Which of the following best describes the department or program of which you are head or chair:
Two year college (Associate is the highest degree)

Private four-year primarily undergraduate (BS or BA is the highest degree)

Public four-year primarily undergraduate (BS or BA is the highest degree)

Masters granting (MS is the highest degree)

Doctoral granting (PhD is the highest degree)

How did you learn about this workshop?
e-mail announcement

mailed brochure

browsing the Internet

link from the Building Strong Geoscience Departments web site

link from the NAGT web site

word of mouth

other

If there is other information relevant to your application, please let us know here:
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In submitting my application for this workshop, I agree that any images (still or video) made of me during the workshop may be used on the project website, in printed project publications, and in materials developed by the project. I further agree that my contributions to creative works that emerge from workshop activities (e.g., discussions on the listserv, contributions to the web page, summaries of group discussion, etc.) may be used by the workshop series, PIs, and conveners for development of future workshop materials, for scholarly reports, and for promotion of the workshop series. Attribution for original contributions will be made whenever possible.

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