Workshop Registration

Contact InformationFirst Name:

Last Name:

Institution:

Department:

Address:

City:

Select a State:

Zip Code:

Phone:

FAX:

Email Address:

Confirm Email Address:

(Please Note: Your email address is what we use to track your application and participation in the workshop. Be sure to use the same email address in all forms relating to your workshop participation. This email will also be our primary means of communication with you.)

Question Set
Describe an assignment or activity you did as a student where you felt you learned the most.

In general, what do you consider to be the characteristics of a strong assignment/activity?

When thinking about teaching, what is your biggest concern, or what do you feel is the biggest challenge you face?

Briefly describe your teaching experience, if any, including TA experience and any non-academic experiences (guiding, camp counselor, etc.).

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

Citizenship (choose one):

U.S. Citizen
Permanent Resident
Other non-U.S. Citizen

Current position (i.e.:

Number of years of full-time teaching experience:

Number of years teaching at the college level:

Discipline:

or Other discipline:

Which of the following best describes the type of institution at which you would most like to teach in the future:

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)

Research ReleaseI have read the Description of the Research Project and Implications for Participation (opens in a new window) or it was read to me. I know the possible risks and benefits. I know that being in this study is voluntary. I choose to be in this study. I know that I can withdraw at any time. I am at least 18 years of age and voluntarily grant permission for the described release and use of notes and comments regarding me in the workshop.
Please select one of the following choices to indicate your level of desired participation in the study:

I consent to participate in ALL aspects of this study. My pre-workshop information, all workshop information, and follow-on workshop information can be used in this study, and I agree to participate in a follow-up interview in approximately 2-6 months which will be audio taped. Video, still images, and audio collected at the workshop may also be used in the research project.

I consent to participate in all aspects of this study, EXCEPT the following:

Workshop Product ReleaseIn confirming my registration for this workshop, I agree that any audio recording or 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 email list, 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.

Payment The registration fee for the workshop is $100.

Important: Once you submit your registration and payment, arrangements will be made that have associated real costs even if you later withdraw from the workshop. Refunds will not be given except in cases of extreme personal hardship, at the discretion of the workshop leader.