Tenure Track Faculty
First and Last Name
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First Name
Last Name
Email
*
example@example.com
Please indicate interest as a mentee or mentor
Please Select
I would like to be mentor
I would like to be a mentee
Please indicate interest in 1:1 mentorship or mentorship in a small group setting.
1:1
Small Group
Both
Department
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Current Position
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Number of years as an LSUHSC faculty member
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List areas of interest/special interests related to your professional work/career.
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What subjects or areas do you specialize in teaching?
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Please list all areas of service-related interests. Include any participation on university, school, department, professional, or community committees or boards
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Please list all scholarly activities included but not limited to scholarly presentations, publications, etc
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Please list all grant applications submitted in the last 3 years and what the outcome has been for each.
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Please list any particular area(s) where mentoring would be beneficial to your career development.
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Are you already part of a formal mentoring program? If you answered yes, please list the organization and your designated mentor.
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Are there faculty that you are interested in working with and serving as your mentors?
Please upload a copy of your most recent CV.
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Please provide a 2-3 sentence description of your career goals
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What are your areas of research expertise?
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Please describe your current funding status.
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