2021-22 Institutional History Learning Cohort Application
Due by April 16th at 5 pm
Sign in to Google to save your progress. Learn more
First name: *
Last name: *
UR ID: *
Department/Program *
Job title: *
How have you participated in CCE programs in the past? *
Proposed Course Title: *
Expected Enrollment *
Will the class be offered in the Fall of 2021 or Spring 2022? *
In one paragraph, please explain why you are interested in connecting your students to the institution's history. Do you have a particular learning objective(s) in mind? *
What do you hope to gain from and contribute to this faculty cohort?
If accepted as a Inclusive History fellow, I agree to: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy