Skip to Main Content

Boston University Medical Campus: Faculty Development & Diversity

BUMC Opportunities
DoM Opportunities

Search Search for:

About us
- Contact Us
BUMC Opportunities
DoM Opportunities
Resources

Contact Us

MFL Application

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.

Name*
First Last
Preferred Email (BU or BMC)*
Mobile Phone:*
Department/Section:*
School:*
Track*
Number of years at BU:*
Academic rank*
Number of years at rank:*
Terminal Degree:*
Number of years since terminal degree:*
Do you consider yourself to be Hispanic/Latinx?*
- Yes
- No
- Prefer not to answer
Select one or more of the following racial categories to describe yourself:*
- American Indian or Alaskan Native
- Asian
- Black or African American
- Native Hawaiian or Pacific Islander
- White
- Other
- Prefer not to answer
Preferred Gender:*
- Woman
- Man
- Non-Binary/Third Gender
- Prefer to self-identify (include in box below)
- Prefer not to answer
Self-described gender:
What of the following best describes how you think of your identity?*
- Lesbian/Gay/Homosexual
- Bisexual
- Straight/Heterosexual
- Prefer to self-identify (include in box below)
- Prefer not to answer
Self-described identity:
Are you a 1st generation college graduate?*
- Yes
- No
Why are you interested in participating in the Mid-Career Faculty Leadership Program? What are your goals for participating in the program?*
What are you most passionate about in your career?*
What do you see as your greatest strengths as a faculty member?*
What are the areas/skills you seek to develop and improve?*
Please tell us about a recent setback or mistake you have made and how have you grown as a result?*
Describe a recent success you are proud of at work and how you are building from the success.*
What are your top three major concerns about your institution(s)? Why?*
How will your participation in the MFL program benefit the BU Medical Campus?*
What do you hope to be doing in your career 5-7 years from now?*
How did you hear about the MFL program?*
Can you attend all the session dates for the 2020-2021 program? Check the boxes below to confirm.
- July 16th & 17th
- Sept. 10th & 11th
- Nov 19th & 20th
- Jan. 21st & 22nd
- Mar. 11th & 12th
- May 20th & 21st
CV*
Accepted file types: doc, pdf, rtf, Max. file size: 100 MB.
Letter of support
Max. file size: 100 MB.
Letter of support from department or section chair may be emailed separately to bumcfdd@bu.edu.

Related to MFL Application

BU Calendar

10.20 RSVP Now! – BU/BMC & NASEM Workshop: Supporting Careers of Faculty with Caregiving Responsibilities

BUMC Opportunities

BUMC Leadership Program
Career Planning & CV Review
Clinician Educator Leadership Program
Early Career Program
Emerging Leaders Program
Dr. Marcelle M. Willock, MD, Faculty Development Program
Mid-Career Program
- MFL Projects
Narrative Writing Program
Seminar Series

More about Faculty Development & Diversity

Calendar

20 Oct RSVP Now! – BU/BMC & NASEM Workshop: Supporting Careers of Faculty with Caregiving Responsibilities

Dept of Medicine
Boston University Medical Group
© 2020 Trustees of Boston University

© Boston University. All rights reserved. www.bu.edu