Preparing For A Faculty Career Certificate Program Interest Form
This form is for UCI graduate students and post-doctoral scholars interested in the Preparing For A Faculty Career Certificate Program
Full Name: *
Your answer
Nickname:
Your answer
UCI ID Number *
Your answer
UCI Email: *
Your answer
Phone Number: *
Your answer
Local Address: *
Your answer
Please select one: *
Academic School: *
Program (Graduate Students) or Position (Postdoctoral Scholars): *
Your answer
Year in your program/position: *
ex. 5th
Your answer
Are you planning to go on the academic job market? If so, when? If you have already been on the job market, what has your experience been? *
Your answer
What have you done to prepare for the academic job market? *
Your answer
What type of academic position(s) are you interested in pursuing and why (e.g. research university, state university, community college, liberal arts/teaching college, postdoctoral scholar, etc.)? *
Your answer
How did you hear about this program? *
Your answer
AGREEMENT *
By checking both boxes you are confirming you have read and agree to both statements.
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