PULSE Ambassador Program Workshop Request Form
The PULSE Ambassadors collaborate with life sciences departments to support the development of a shared vision for the department and the implementation of recommendations for pedagogical and curricular reform, such as those in Vision and Change in Undergraduate Biology Education: A call to action (2011).  Our two-day Ambassador workshops are based in the principles of facilitative leadership, thereby allowing the department’s vision to emerge from dialog and consensus-building.  The PULSE Ambassador Program is currently funded by an NSF RCN-UBE grant (Award 1624182), which builds on the foundation built with previous NSF support (Award 1335571).  If you and your department are interested in an Ambassador Workshop, please fill out the form below to initiate the process. Thank you!
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Email *
Your Name *
Your Position in Department *
Name of Institution *
Institution Type *
Minority Serving Institution (MSI) *
If previous response was "yes," which type?
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Time Frame for prospective Ambassador Team Visit? *
How did you first learn about the PULSE Ambassador Program? *
If you previous answer was Conference/Workshop or Published Article, please specify.
Please use the space below characterize your interest in an Ambassador workshop and what you hope to achieve through your interactions with the PULSE Ambassadors. *
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