Thank you for taking the time to complete this questionnaire. Please be advised that this faculty is asking to enroll in the three day Mid-Career Faculty Development Bootcamp during the following dates and times:

April 16, 2020 (8:00 am - 5:00 pm)
April 17, 2020 (8:00 am - 5:00 pm)
April 18, 2020 (8:00 am - 5:00 pm)

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* 1. Participant’s Information

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* 2. Department Chair's Information

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* 3. As a Chair of the Department, I support the faculty above to participate in the Mid-Career Faculty Development Bootcamp organized by the Office of Faculty Affairs and Mentoring Programs.

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