ESCALA Moving Towards Serving Program (MTS) Interest Form - Fall 2024 (San Jose) and Spring 2025 (Chicago) Locations

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Thank you for your interest in the Moving Towards Serving Program for HSI Practitioners!

We are excited to talk with you more about this program, and see if it is good fit for your college and practitioner team's current work and goals. On this Interest Form, please indicate which of the locations you are interested in. We will follow up with a meeting invite from Kesia Ceniceros, Clients Manager and Dr Maribel Jimenez, MTS Program Director. Please allow us 48-72 hours after submitting the form in order to schedule this meeting.

When we meet, we will discuss what is included in the $25,000 registration price, and what else you will need to consider before committing to the program. We would also like to hear about the unique aspects of your college's journey to move towards servingness, and what you want to gain from sending a team to the program.

Fall 2024 Retreat Location/Date: San Jose, California. September 26-28, 2024 (all-day Thursday, all-day Friday, half-day Saturday)

Spring 2025 Retreat Location/Date: Chicago, IL April 2025, Exact dates TBD.

Contact Info:
If you have any questions about this form or the program before filling this out, please contact the ESCALA team at inquiries.escala@gmail.com.

Full Name (First and Last) *

Email *

Best Contact Phone Number *

How did you hear about the Moving Towards Serving program? *

What is the full name of your Hispanic Serving Institution or emerging Hispanic Serving Institution? *

What is the city, state of your HSI? *

Is your HSI: *

Two year, public institution

Four year, public institution

Four year, private institution

Other:

What is your institutional title? *

What is your role in HSI efforts? *

Why do you want to send a team to this program? *

Have you or other practitioners from your institution engaged in other ESCALA programming? If so, please list here. *

What type of grants or institutional financial support does your HSI or eHSI have that could support your team's work? (if none, please write 'none'). *

Which of the following resources does your HSI currently have? (check all that apply) *

Center for Teaching and Learning (may have a different name)

Diversity and Inclusion Director/Office

HSI Programs or Initiatives Director/Office

Services for Latinx student success (could have many names)

Institutional Research and Effectiveness Data Researcher (who can disaggregate institutional data)

Required

Please suggest a few times you are available for a meeting within the next two weeks.

Please click Submit below and you'll receive a copy of your responses. We will get back with you within 48-72 hours with a Zoom meeting request.

If you have any questions or need to modify your application please contact us at inquiries.escala@gmail.com.

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