Please help us get to know you better!

The following questions are for internal use only. Your responses will not be shared publicly; they will only be viewed by committees within OSHER@Dartmouth, and only if you respond in the affirmative to specific questions.

* 1. Are you willing to share your personal job experience or expertise in a particular subject with other members of OSHER@Dartmouth, either by acting as a Study Leader or leading a lecture/talk?

* 2. If you answered 'Yes' to question 1, would you prefer to lead a talk/lecture, or act as a Study Leader for a course? Talks and lectures are generally one-time events; courses can run from 2 – 8 weeks, typically 2 hours per session.

* 3. What subject(s) would you be interested in covering in your talk, lecture, or course?

* 4. Would you consider volunteering to be a mentor to a Dartmouth College student majoring in a field in which you have particular experience?

* 5. What is/was your principal occupation? (Business, government, education, science, medicine, engineering, the arts, homemaking, etc.) Please be specific.

* 6. Do you have any additional expertise or subject area of knowledge?

* 7. Would you be willing to participate in a Dartmouth College course dealing with a subject where you have both broad and specific professional knowledge? (Such participation might consist of a one-time talk and/or a question & answer exchange with students.)

* 8. Are there any specific subject areas or courses of study you would like OSHER@Dartmouth to offer as a course, talk, or lecture?

* 9. You are invited to participate more directly in making OSHER@Dartmouth work better for all. Would you be interested in participating in any of the following committees and/or support areas?

* 10. If you selected 'Other' in question 9, what task or role would you be willing to take on in support of OSHER@Dartmouth?

* 11. If you have a particular interest or specific expertise in any of the following areas, are you willing to share your knowledge with OSHER@Dartmouth for the pursuing our mission?

* 12. Please note any feedback you would like to share with us about your OSHER@Dartmouth experience:

* 13. Your name:

* 14. Your Email Address: