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2019 Mentor-Connect Mentorship Application: Part 1 of 2
Application Deadline: Friday, October 12, 2018
Notification of Selection: Friday, November 9, 2018

Please review instructions for this application thoroughly prior to proceeding with this portion of the application.

Only one application per college can be submitted in response to this Call for Applications

Mentor-­Connect applications are scored by a formal rubric. The rubric includes factors such as demographic and geographic diversity of faculty and/or the college, viable discipline area, demonstrated industry need, good balance of teaching experience, and overall interest of the college and faculty applicants in the mentoring opportunity.

Email address *
College Name *
Your answer
College Address *
Your answer
College Project Target Discipline *
Is your college officially designated as: *
Required
If your college is officially designated as a "Predominantly Black or Hispanic Serving Institution," list its designation and %.
Your answer
Is this the first application your college has submitted to Mentor-Connect? *
If no, when did you apply?
Your answer
Faculty (PI) Profile #1
Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Gender *
Race/Ethnicity *
Faculty classification/Title *
Your answer
College where employed *
Your answer
Department *
Your answer
Primary Teaching Discipline *
Your answer
Academic Degrees or Equivalent Credentials (e.g., Professional Engineer License) *
Your answer
Employment Status *
Based on your typical teaching contract (s), what is your anticipated teaching schedule? *
How many total years teaching experience do you have? *
How many years have you taught at your current academic institution? *
21. Faculty Personal Statement of Interest (150 words): Describe (1) your personal and professional interest in participating in Mentor-Connect to learn grant writing and leadership skills; and, (2) how an NSF ATE-funded project will help you to improve your technician education programs and student success in those programs. *
Your answer
Faculty (Co-PI) Profile #2
Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Gender *
Race/Ethnicity *
Faculty classification/Title *
Your answer
College where employed *
Your answer
Department *
Your answer
Primary Teaching Discipline *
Your answer
Academic Degrees or Equivalent Credentials (e.g., Professional Engineer License) *
Your answer
Employment Status *
Based on your typical teaching contract (s), what is your anticipated teaching schedule? *
How many total years teaching experience do you have? *
How many years have you taught for your current academic institution? *
Faculty Personal Statement of Interest (150 words): Describe (1) your personal and professional interest in participating in Mentor-Connect to learn grant writing and leadership skills; and, (2) how an NSF ATE-funded project will help you to improve your technician education programs and student success in those programs. *
Your answer
Proposed Project (500 word maximum): Describe the project idea that you want to develop into a NSF ATE grant proposal with Mentor-Connect help. Indicate as clearly as possible, without the use of grant boilerplate language or too much detail on the college itself, the STEM technician education area your project will address and how. Specifically, the statement should address the following questions: a. What workforce need in your service area will this project address? What validation or evidence do you have of this workforce need? b.What specifically do you plan to do to address this need? c.What do you expect to accomplish with an NSF ATE grant (desired outcomes)? d.Please list any current or potential collaborators in your proposed project such as industry partners, educational organizations, and others. e.How will your project improve STEM technician education and improve student success? *
Your answer
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