Minority Faculty Leadership & Career Development Program Application

Applications due August 3, 2015

Because this form does not allow you to save your work and return to it, you may want to write your answers in a separate document and then paste them here.
  • What are your short-term (9-12 months) and long-term (3-5 years) career goals?
  • What is the leadership goal you plan to achieve through your participation in this program? How to you plan to measure if you have successfully achieved your goal? Examples of personal goals may include leading a committee, or clinic, improving public speaking skills, or developing a new program, among others.
  • Accepted file types: doc, pdf, rtf.

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