DEMOGRAPHICS

Thank you for your interest in the Claflin Consultation Initiative (CCI). This program of the Center for Faculty Development's Office for Women's Careers is designed to help applicants develop a strong application for the Claflin Distinguished Scholar Awards. Through the CCI, you will be matched with a Claflin alumna for advice on your application. Please fill out the information in this survey to help us provide you with the best consultation possible.

Note: If you have questions about your eligibility, please email ecor@mgh.harvard.edu before requesting a consultation.

The Claflin application deadline is Tuesday, December 11, 2018 and the last date to enroll in the CCI is Friday, November 2, 2018.

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* 1. Name

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* 7. Have you previously held a faculty position at another institution?

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* 8. If yes, please list institution name, number of years on faculty there, and faculty rank at departure

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* 9. Preferred email address (This will be given to your Claflin alumna match)

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* 10. Preferred phone number (This will be given to your Claflin alumna match)

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