Workplace Climate Program Application

Basic InformationName of applicant

Email of applicant

Institution

Department

Department website

Name of department chair (if different from applicant)
If not applicable, write "N/A"

Email of department chair (if different from applicant)
If not applicable, write "N/A"

Department InformationHow many faculty members, staff members, and graduate students are currently affiliated with your department? Please provide specific numbers.

Are you able to confirm that at least 80% of the faculty and staff in your department will be able to participate in this study, if selected?

Yes
No

What strategies will you use to ensure high participation rates?

Application Materials for Further Consideration
What do you hope to gain from participation in the ADVANCEGeo Workplace Climate Program? Are there specific areas of concern or interest that you would like to address? (250 word limit)

0 out of 250 words used

Have you implemented any specific initiatives or programs in the past to promote or improve workplace climate within your department? (250 word limit)

0 out of 250 words used

If any documentation or outcomes of past programs is available, please attach a copy

Past program documentation or outcome upload

Select the file: Make sure it has an appropriate suffix (e.g. .doc) or specify the type in the Optional Fields below

Show Optional Fields

Title: A descriptive, human readable title.

e.g. 'Student Handout for Sauerkraut Assignment'

Description: A very brief description of the file.

File Type:

The system will attempt to determine the correct file type based on the name of the file you've selected. Choosing the correct file type here will override that.

File Name:

e.g. 'student_handout'
This will be the name of the downloaded file. By default the system will generate this based on the title you specified and the type of file. If you specify a name here it will over-ride the automatically generated name. This is generally only useful when uploading file of a type not recognized by the system (not in the list of file types above). In that situation choose File Type: Unknown Binary and include the appropriate suffix in the file name here. e.g. myfile.m3z Avoid spaces or special characters in the file names.

Does your department have a current Code of Conduct or similar policy document related to workplace behavior? How is this document enforced, and have there been any recent updates or revisions? (250 word limit)

0 out of 250 words used

Please attach a copy of your code of conduct or similar document (if applicable)

Code of conduct or workplace behavior document upload

Select the file: Make sure it has an appropriate suffix (e.g. .doc) or specify the type in the Optional Fields below

Show Optional Fields

Title: A descriptive, human readable title.

e.g. 'Student Handout for Sauerkraut Assignment'

Description: A very brief description of the file.

File Type:

The system will attempt to determine the correct file type based on the name of the file you've selected. Choosing the correct file type here will override that.

File Name:

e.g. 'student_handout'
This will be the name of the downloaded file. By default the system will generate this based on the title you specified and the type of file. If you specify a name here it will over-ride the automatically generated name. This is generally only useful when uploading file of a type not recognized by the system (not in the list of file types above). In that situation choose File Type: Unknown Binary and include the appropriate suffix in the file name here. e.g. myfile.m3z Avoid spaces or special characters in the file names.

Please attach a letter of support from your Department Chair (if applicable)

Department Chair support letter upload

Select the file: Make sure it has an appropriate suffix (e.g. .doc) or specify the type in the Optional Fields below

Show Optional Fields

Title: A descriptive, human readable title.

e.g. 'Student Handout for Sauerkraut Assignment'

Description: A very brief description of the file.

File Type:

The system will attempt to determine the correct file type based on the name of the file you've selected. Choosing the correct file type here will override that.

File Name:

e.g. 'student_handout'
This will be the name of the downloaded file. By default the system will generate this based on the title you specified and the type of file. If you specify a name here it will over-ride the automatically generated name. This is generally only useful when uploading file of a type not recognized by the system (not in the list of file types above). In that situation choose File Type: Unknown Binary and include the appropriate suffix in the file name here. e.g. myfile.m3z Avoid spaces or special characters in the file names.