Application Deadline: November 30, 2021 by 5 pm

Instructions: Please complete the application questions below.

Note: Please also email a letter of recommendation from your college's president, provost, or vice president and a copy of your CV/resume to alma.kanicfranco@suny.edu by November 30. We can not consider your application complete without them. Thank  you!

Questions? Contact Jennifer Miller, Executive Director, NYS Student Success Center at jennifer.miller@suny.edu or Alma Kanic-Franco, Assistant Director, NYS Student Success Center at alma.kanicfranco@suny.edu

 

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* 1. Name:

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* 2. Title:

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* 3. College/Organization:

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* 4. Phone:

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* 5. Email:

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* 6. Please select your current role:

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* 7. Please select your highest level of academic degree completion (select only one answer):

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* 8. How many years have you been in higher education?

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* 9. How many years have you been at your current college?

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* 10. Please select two area(s) of expertise. Note: Please only select the topics that you believe you could act as a subject matter expert coach or mentor to another college.

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* 11. Please provide a short bio (200-300 words) for use in publications/publicity if selected:

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* 12. Please share why you are interested in becoming a coach:

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* 13. Please describe any relevant examples of your facilitation, coaching, and/or mentoring experience:

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* 14. Please share any examples of your role in student success or change leadership projects at your college or statewide:

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* 15. Have you attended a SUNY or AACC Guided Pathways Institute(s)?

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* 16. Please share anything else you would like the selection committee to know:

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