2026 ALT Workshop Application Academic Leadership Workshop Deadline: October 15th, 2025 Question Title * 1. Demographic Information Name: Institution: Department: URL of home page: Email Address: Question Title * 2. Rank Assistant Professor Associate Professor Full Professor Other Other (please specify) Question Title * 3. Tenured Yes No Question Title * 4. Number of years in current position? Question Title * 5. Are you a Cottrell Scholar? (Not required for acceptance.) Yes No If No, you are encouraged to provide the name (and e-mail address) of a Cottrell scholar, past participant, or organizational leader (who needn’t be a Cottrell Scholar) that endorses your application. Question Title * 6. In 100 words or less, please provide your desired outcomes from participation in the workshop. Question Title * 7. Are you aware that we will be charging a registration fee ($2300) and that we can offer scholarships (up to $1000)? (Registration fees cover the costs for the 360 exercise, food, and 2-nights hotel room during the meeting.) Yes, and can cover the full registration fee ($2,300) Yes, and would like to request a discounted fee No Question Title * 8. Are you aware that you will need to cover your travel costs to and from the workshop? Yes No Question Title * 9. If you are requesting a scholarship, please indicate how much (capped at $1000), and provide a justification for the request. Question Title * 10. Unfortunately, we do not have funds to subsidize participation beyond those used to offer scholarships while keeping the overall price lower than comparable programs. Please confirm that you intend to seek commitment in your professional development from your institution by way of them providing subsidy of your travel costs and registration. Yes No Done
