Registration for Fall 2022 Hancock Academy: Moving Forward with Equity

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Please fill out the following questions. Please contact Amanda Lombard, amanda.lombard@hancockcollege.edu, if you have any questions.

Name *

Department
*

H number *

Email address *

Are you full time or part-time faculty? Or Staff?*
*

Full-time faculty

Part-time faculty

Staff

Do you plan to get PD time (12 hours) or if you are faculty, do you plan to take a stipend for the completion of Hancock Academy?
*

PD time

Stipend for 12 hours based off hourly rate

Other

If you know your Dean/Supervisor, please provide their name below. (For stipend signing purposes).

Please check the box to show you understand the following about Hancock Academy: Moving Forward with Equity. I understand that Hancock Academy is a 4 week series held on Zoom on Fridays in October and November, from 11 am - 12 pm, and it includes assignments and discussion boards on Canvas outside of our meeting times.
*

I understand that Hancock Academy is a 4 week series held on Zoom on Fridays in October and November, 11 am - 12 pm, and includes assignments and discussion boards on Canvas outside of our meeting times.

Required

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