JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Research Apprenticeship Program - Mentor Grantee/Mentee Request Form
DEADLINE - OCTOBER 13th
For faculty to fill out
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full name
*
Your answer
UWW email address
*
Your answer
What department do you work in?
*
Your answer
Do you work at Whitewater, Rock County, or both?
*
Whitewater
Rock County
Both
Please provide a brief abstract (maximum 250 words) of the project you would have RAP students work on. This information helps the RAP staff match students with mentors.
*
Your answer
Mentors may work with up to 3 students per academic year. How many students are you willing to mentor?
*
1
2
3
How many hours
per week, per RAP student
will you expect/require? Reporting a range of hours will helpful to the URP staff in matching up mentors and students.
*
Your answer
Are there any special skills/experience required by potential RAP students (e.g., programming, software, etc.)? (or write NA if Not Applicable)
*
Your answer
Have you mentored a RAP student before?
*
Yes
No
If you will mentor a student(s), have you identified the student(s) with whom you will work?
*
Yes
No
If yes, please indicate the name(s) of the student(s) (or write NA if Not Applicable)
*
Your answer
Are you interested in mentoring a King/Chavez Scholar during the Spring semester?(more information is available here https://www.uww.edu/foundation/kc-scholars)
Yes
No
Clear selection
We are always looking for RAP mentors. Do you recommend any mentors in your department who may need RAP students this year or in the near future?
*
Yes
No
If yes, please list their full name/s (or write NA if Not Applicable)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Wisconsin-Whitewater.
Report Abuse
Forms