Mentorship Experience Form

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First and Last Name *

UC Email *

Please indicate your current PFF tier:
*

Have you completed/passed the Teaching Effectiveness course?
*

Yes

Have you completed/passed the Academic Job Search course?
*

Yes

Please select your anticipated mentoring start date:
*

YYYY

Do you have a mentor in mind? *

Yes

If you answered yes, please provide the mentor's name, the mentor's email, and the university where they teach.

If you do not have a mentor in mind, what department/subject area would you like your mentor to teach within?

If you do not have a mentor in mind, please indicate the institutions where you'd like to complete your mentorship (please choose at least two):

Hebrew Union College

Northern Kentucky University

Mount St. Joseph University

Thomas More University

University of Cincinnati Blue Ash

University of Cincinnati Main Campus

Xavier University

Please utilize the following space to specify any additional mentoring requests or interests.

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