McNair Scholars Program Faculty Mentor Application
Thank you for your interest in serving as a Faculty Mentor for the McNair Scholars Program. Please complete the fields to ensure you are paired with the appropriate student.
Name
*
Prefix
First Name
Last Name
J- Number
*
Title
*
Campus Mailing Address
*
Office Location
*
Campus Phone Number
*
Please enter a valid phone number.
Alternate Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Do you have a doctoral degree?
*
Yes
No
Are you a former McNair Scholar?
*
Yes
No
Are you willing to mentor more than one student?
*
Yes
No
Maybe
Are you willing to serve in additional capacities?
*
Yes
No
Maybe
If yes, please identify how you are willing to serve
*
Panelist
Workshop Presenter
Advisory Board Member
Other
What is your experience with working with first generation students and students from underrepresented groups?
*
How long have you been a faculty member?
*
Are you tenured track?
*
Yes
No
Are you currently engaged in research?
*
Yes
No
What topic(s) are you currently researching?
*
Why would you like to be a faculty mentor for the McNair Scholars Program?*
*
How could students benefit from working with you?
*
Please attached your updated Curriculum Vitae reflecting your teaching, research and advising experience.
*
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