Application for Formal Participation in UD-CIRTL Program
*intent to achieve a CIRTL-level of accomplishment (Associate, Practitioner, or Scholar)
This application is required for your formal participation in the UD CIRTL Program. Prior to completing this application, we strongly recommend that you have a discussion with your dissertation/thesis advisor about your intent to seek professional development opportunities through CIRTL at UD. We are happy to provide supporting information that could be helpful to you, your advisor, and your Department Chair to ensure that CIRTL involvement is optimally beneficial to you. Please contact us for any additional information at
. Also, if you do not receive a message of receipt upon submission of the form, please contact us at CIRTL at
UD Email Address
Role at UD
Anticipated CIRTL-Level of Accomplishment
Expected Graduation Date (e.g. Spring 2018)
Please describe the reasoning behind your interest in CIRTL.
What are your professional goals? Short-term and long-term goals may apply.
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