2023 Leadership Summit Application Form for the CDN

2023 ADSA Leadership Summit Application for the CDN

May 8-10 Boston University
The Academic Data Science Alliance (ADSA) invites members of its Career Development Network (CDN) to apply to attend the 2023 Data Science Leadership Summit which will take place at Boston University from May 8 to May 10, 2023.

The ADSA Leadership Summit convenes the heads of current and nascent data science programs, and faculty interested in creating new initiatives on their campuses to form an academic community for data science. The goal is to share best practices and to take collective responsibility in preparing the next generation of data scientists to contribute to the best interests of society.

Applications are due by 11:59pm EST on Feb. 5, 2023.

Notifications will be sent by 11:59pm EST, Mar. 3, 2023.

Eligibility Criteria:
- Applicants must be a member of the ADSA Career Development Network. To join the CDN, fill out and submit this form. If you are unsure whether you are a member of the CDN, please send an email to info@academicdatascience.org with the subject "CDN member status" to inquire about your status.
- Applicants must abide by ADSA’s Code of Conduct.
- Applicants must abide by local laws.
- Applicants must abide by the policies of Boston University.
Please note that this meeting will also be governed by the COVID-19 guidelines of the local municipality.

More details about the application, including criteria for review and selection, can be found here.
Name*

First/Given Name Last Name/Surname
Email*
example@example.com
Where do you work? (e.g. University of California Berkeley, Google, NOAA)*
Department, Center, Institute, or Program
Location

Street Address Line 2

City State / Province

Postal / Zip Code Country
Which best describes your current position/career stage?*

Undergraduate studentGraduate studentPostdocPre-tenure facultyPost-tenure facultyNon-tenure faculty, Teaching faculty, or LibrarianProfessional staff or Research Scientist (in academia)Director or Head of an institute or programEarly career professional (non-academic)Mid-career professional (non-academic)Late career professional (non-academic)Other, please specify
In which disciplines do you work or learn? (e.g. Biology, History, Computer Science, etc.)
How would your attendance at the ADSA Leadership Summit support your career goals?*
What are your current and past contributions to the data science community?*
Have you participated in any initiatives to improve accessibility and/or increase diverse representation in the field of data science? If so, please elaborate below.*
Please list examples of your past and current leadership roles. These examples can be unrelated to data science.*
Are there any other things that you want us to know about your past and current contributions to the community and field?
The following 2 questions are completely optional. Marginalized demographic info for US respondents only. We want the ADSA Leadership Summit to be diverse both in career stage (above) and demographics. Here we ask for demographic information so we can measure how well we're doing. If you are comfortable doing so, please share more about your background. This information is for our internal use only and will not be tied to your personal information in any public-facing documents.
Do you self-identify as part of an underrepresented or marginalized group in either your community or professional field? If yes, check all that apply.

AgeDisabilityEducational attainment (family or personal)Gender identity: nonbinary or gender queerGender identity: womanNationalityRace or ethnicity (see next question)ReligionSexual orientation (LGBTQIA+)Socioeconomic statusDo not wish to provideAnother dimension not listed
Which races or ethnicities best describe you? (check all that apply)

Asian (for example, Asian American, Chinese, Filipino, Asian Indian, Korean, Japanese, etc.)Black (for example, African American, Jamaican, Haitian, Nigerian, Ethiopian, etc.)Hispanic, Latinx, or Spanish origin (for example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, etc.)Middle Eastern or North African (for example, ME/NA American, Lebanese, Iranian, Egyptian, Moroccan, etc.)Native American or Alaska Native (for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Nome Eskimo Community, etc.)Native Hawaiian or Other Pacific Islander (for example, Samoan, Chamorro, Tongan, Fijian, etc.)White (for example, Caucasian American, German, Irish, Italian, French, English, etc)
Please verify that you are human*
Should be Empty:

2023 ADSA Leadership Summit Application for the CDN