2027-28 Workshop Application Form EmailThis field is for validation purposes and should be left unchanged. Name Name(Required) First Last Preferred Name(Required)Preferred NameEmail(Required) Email Academic CredentialsField(Required)FieldTerminal degree(Required)Terminal degreeDate granted(Required)Date granted Academic InstitutionName of institution(Required)Name of institutionFull-time student enrollment(Required)Full-time student enrollmentInstitution Location(Required) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Number of years teaching at this institution(Required)Number of years teaching at this institution Evidence of support from an academic administrator (Choose one of the following)(Required) I was nominated by a Chief Academic Officer I am applying independently and being recommended by an academic administrator No more than two applications in each category from any one institution will be considered.Name of person who has nominated you or is recommending you(Required) First Last Applicant’s agreement to the Statement on Full Participation Statement on Participation(Required) I have read and agree to the Statement on Full Participation(Required) Read Statement on Full Participation Required Documents Please attach three documents to this application form. Names should appear on all documents labeled: “lastname-typeofdocument.pdf.” Applications that do not include all three documents will be considered incomplete. 1. A current CV (3 page maximum), labeled “lastname-cv.pdf”(Required)Max. file size: 2 MB. 2. A document with brief written responses to the prompts required for the application, labeled “lastname-prompts.pdf”(Required)Describe your teaching experience, your teaching context, and your current position in your school’s faculty review process (150 words maximum). Describe the discourse about liberal arts education on your campus (150 words maximum). Describe and analyze a specific challenge you have experienced in your teaching (150 words maximum). Considering your responses to the previous prompts, tell us a pressing issue you would like to pursue with a cohort of fellow liberal arts college faculty, as well as why this is a pressing issue for you. (150 words)Max. file size: 2 MB. 3. Letter of nomination or support(Required)Max. file size: 2 MB.
