ASEE DELTA New Department Leaders Institute Application

Thank you for your interest in the DELTA New Department Leaders Institute. This program will take place virtually on August 3, 4, and 5, 2022, from 1:00 PM to 5:00 PM, ET all days.

Deans are encouraged to nominate up to two chairs per institution. Applications should be submitted by the nominating Dean, with necessary information (e.g., CV, personal statement) provided by the applicant.

The application period for the August 2022 Institute will end on July 15, 2022 at 11:59 PM, ET. Applications received after that date will be considered for future offerings of the Institute.

Please note that, to maximize value and engagement, the DELTA New Department Leaders Institute has a limited capacity of 30 seats per Institute offering.

Applicant Information (New Department Leader)

Question Title

* Please provide the following information about the applicant (new department leader).

Prefix (i.e. Dr., Mrs.)

First Name

Last Name

Academic Title (i.e. Department Chair)

Department

Institution

Email Address

Question Title

* Please provide applicant CV. Only PDF, DOC, and DOCX files are supported. CVs should be no longer than two pages.

PDF, DOC, DOCX file types only.

Choose File

Question Title

* Please provide a brief (1,000 characters or less) applicant statement summarizing your accomplishments thus far, goals and aspirations, and/or what you hope to gain from participating in the DELTA New Department Leaders Institute.

Question Title

* Please provide applicant gender. Select all that apply.

Male

Female

Cisgender

Transgender

Gender nonconforming

Prefer not to disclose

Other (please specify)

Question Title

* Please provide applicant race/ethnicity. Select all that apply.

American Indian or Alaskan Native

Asian or Asian-American

Black or African-American

Hispanic or Latinx

Native Hawaiian or Pacific Islander

White

Prefer not to disclose

Other (please specify)

Nominator Information (Dean)

Question Title

* Please provide the following information about the nominator (Dean).

Prefix (i.e. Dr., Mrs.)

First Name

Last Name

Academic Title (i.e. Dean)

Department

Institution

Email Address

Question Title

* Please provide a brief (1,000 characters or less) statement explaining why this department leader is being nominated, what factors contributed to the appointment of this department leader, and/or what role and impact you anticipate the department leader having in the future.

Question Title

* By entering my full name below, I am affirming my approval of this nomination, along with a commitment that the financial support necessary for the department leader’s participation in the DELTA New Department Leaders Institute has been identified and dedicated.

Question Title

* Please re-enter the following institutional information.

Applicant Institution

City/Town

State/Province

Question Title

* If your institution is an Minority Serving Institution, please indicate the type.

Historically Black Colleges and University (HBCU)

Tribal Colleges and University (TCU)

Hispanic-serving Institution (HSI)

Alaska Native- and Native Hawaiian-serving Institution (ANNH)

Asian American and Native American Pacific Islander-serving Institution (AANAPISI)

Predominantly Black Institution (PBI)

Native American-serving, Nontribal Institution (NASNTI)

Question Title

* Please indicate type of institutional control.

Public

Private

Question Title

* Please indicate institutional Carnegie Classification.

Doctoral

Non-Doctoral

Community College