AGEP HIRE Eligibility Survey

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This form is designed by researchers at the University of California Irvine to assist in sampling for a project that studies educational pathways of Latine and Hispanic teaching-focused STEM faculty. All collected information will be confidential, and stored securely by the research team. Please direct any correspondence to Josephlh@uci.edu.

Email *

Do you Identify as Latino/a/e/ or Hispanic? *

Yes

Are you a U.S. Citizen?

Yes

Other:

Clear selection

How would you define your ethnicity?

What Gender do you Identify as?

Please State Your Current Position Title

What is the name of your department or discipline?

What portion of your position focuses on teaching? (e.g. 50% or 2 courses/term)

Less than 50%, or less than 2 courses per term

50%+, or 2 or more courses per term

Other:

Clear selection

Are you within the first 5 years of your first teaching-focused position?

(years in postdoc do not count towards the 5 years)

Yes

Other:

Clear selection

Do you Identify as any of the Following?

First-Generation Student

2nd Generation Academic (I.e., a parent or guardian is a professor)

Undocumented person

Immigrant

LGBTQ+

Disabled

Formerly Incarcerated Person

None of the Above

From what Institution did You Earn Your PhD?

What is the name of your current institution?

Send me a copy of my responses.

Submit

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