Minority Faculty Development Workshop Application

Please fill in the requested information and upload the necessary files by Monday, July 15, 2019. Only completed applications will be considered. Acceptance notifications are expected to sent out via email on or before August 5, 2019.

This workshop is made possible by the National Science Foundation (NSF). Travel funding and lodging will be provided to all non-local participants who meet the NSF requirements as indicated at the bottom of the application.

Complete the following form and click on SUBMIT to complete your application. Be sure to hit the SUBMIT button before leaving this page or your information will be lost. We encourage you to compose your answers to the longer questions in a word processor and to cut and paste the resulting text into this form. This gives you access to conveniences like spell checking as well as the opportunity to save and reflect on your work before submitting.

If you are accepted for the workshop, you will be asked to complete a registration form to provide us with more information.

Contact Information















(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. Please double-check that you have typed it correctly.)

Academic Contact Information



















Demographics

We collect the data below for our reports to the National Science Foundation, which funds this project. The following information will be reported only in aggregate.














Race (select one or more boxes):






Disability status (select one or more):


























Question SetPlease list three topics of interest that you would like to see addressed during the workshop:











Document Uploads
Download Word Template NSF Biographical Sketch Instructions (Microsoft Word 42kB Aug10 15)
National Science Foundation Requirements

The National Science Foundation provides funding for the operational costs of the workshop plus travel, lodging, and workshop materials for the participants. To be supported by these funds, participants must be either a US citizen, a permanent resident, or in the employ of a US institution. You must check one of the following to submit.