Advance - Advancing women faculty in science, technology, engineering, and mathematics at UMBC

Faculty Horizons 2007 Application

Please fill out this application for the University of Maryland Baltimore County Faculty Horizons workshop that will be held July 12 – 14, 2007.  This workshop is for postdoctoral fellows and senior level graduate students who aspire to a faculty career.  Participants will be accepted on a rolling basis.  All selection decisions will be made by May 29, 2007.

For details on the agenda, registration and travel, visit www.umbc.edu/advance.

Personal Information

First Name   Last Name
 
Email Address
Home Address
City   State
 
Zip Code:
Home Phone   Cell Phone
 
Gender
Male Female
Ethnicity
African American
Asian
Caucasian		   Hispanic
Pacific Islander
Other

Employment Information

Current Position
Name of Current Employer (University, Agency, Company)
Address
City   State
 
Zip Code

Educational Information

Undergaduate University
Graduation   Degree
  B.A. B.S.
 
Graduate University
Graduation   Degree
  M.S. Ph.D.
 
Graduate University
Graduation   Degree
  M.S. Ph.D.

Research Information

Title of Current Research Project
Area of Research
Research Mentor

Career Information

Please provide a brief description of your career goals, including where you see yourself professionally in five years and in ten years.  (For example, industry professional, tenure-track faculty, teaching/instructor, researcher.)
When do you anticipate searching for a faculty position?

Curriculum Vitae

Please copy and paste your latest CV below.

Conference Information

Would you like to share a room with another participant? 
Yes No
Name of other participant (this request is not guaranteed)
Please choose from the following disciplines that which is closely related to the field in which you will be searching for a faculty position.  You may be placed in groups during the conference according to this choice.
 
By submitting this application, I confirm that all of the information provided is accurate, AND I agree to give the ADVANCE Program permission to share my application with the Chairs and faculty at UMBC in departments relevant to my training, so that I may be included in future faculty searches.