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2027 ALT Workshop Application
Academic Leadership Workshop
Deadline: October 15th, 2026
1.
Demographic Information
Name:
Institution:
Department:
URL of home page:
Email Address:
*
2.
Rank
(Required.)
Assistant Professor
Associate Professor
Full Professor
Other
Other (please specify)
3.
Tenured
Yes
No
4.
Number of years in current position?
*
5.
Are you a
Cottrell Scholar
? (Not required for acceptance.)
(Required.)
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.
*
6.
In 100 words or less, please provide your desired outcomes from participation in the workshop.
(Required.)
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
*
8.
Are you aware that you will need to cover your travel costs to and from the workshop?
(Required.)
Yes
No
9.
If you are requesting a scholarship, please indicate how much (capped at $1000), and provide a justification for the request.
*
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.
(Required.)
Yes
No
