Please complete this survey by June 25th, 2016. Complete this survey only if you have been notified that you have been accepted to participate in the workshop.

Note that the top portion of the form will be mostly pre-filled if you are logged into your account. You must complete the following form in one sitting - you cannot save and return at a later time. Be sure to click the SUBMIT button before leaving this page, or your information will be lost.

Note: Your email address is what we use to tie your participation in the workshop with your registration for the Rendezvous. Please be sure to use the same email address that you used to register for the Rendezvous.

The workshop will be providing a catered dinner on Tuesday evening from 6pm-8:30pm. We will treat the gathering as an academic cafe, and spend time doing teaching statement reviews as well. The meal will be covered by the workshop, and beverages will be available for purchase.

To help participants be effective resources for one another, we will distribute information about each person's teaching and research interests. We plan to copy your responses to the next three questions directly into a form, so please check spelling and also keep to the space guidelines:

Why are you interested in participating in this workshop? Check all that apply.