Hello!  Thank you for your interest in the 2020-21 UB Center for Diversity Innovation Distinguished Visiting Scholars program!  A critical part of this annual program is to provide opportunities for deep engagement between UB students and the Distinguished Visiting Scholars--and among the members of each mentoring circle.  There will be 10 students per Scholar circle--one circle will have 10 undergraduate students; the other, 10 graduate students.  So you will have a great opportunity to meet other UB students you may not know, as well as get to know our awesome Scholars!  The circles will meet--virtually and in-person--on occasion all year. (The time commitment will not be much at all, but you will have multiple opportunities to connect to the Scholar mentor and peers each semester.)

The deadline for your survey and uploaded short statement (described on next page):  Thursday, October 15th.

This form enables you to identify one (or more) members of the Center's Distinguished Visiting Scholars cohort whose mentoring circle you would like to join. There are limited number of slots in each circle, but by expressing interest, you can also choose to be informed of other ways to engage with the Scholars in addition to the mentoring circles.  There will be many ways, over the course of the year, to meet these nine great faculty.

Because you will be asked to describe as best as you can why you would like to work with each Scholar you choose in this survey, please review Scholars bios/areas of expertise here (https://www.buffalo.edu/diversity-innovation/distinguished-visiting-scholars/cohort.html) before completing this form. 

We are so fortunate to have these 9 individuals here at UB. Enriching your (and all of UB students') experiences is the reason this program exists. Thank you in advance for welcoming and engaging in the events and activities that will be held for the entire UB community in the coming year.  If you have questions or comments, please email ub-cdi-scholars@buffalo.edu. (You will see on the next page how to upload your brief statement--PDF document preferred--about yourself so Scholars can learn about you and your interests.)

You will be notified by email re: mentoring circle selections so please monitor your UB email.  Best wishes, Maura Belliveau, Ph.D. (Director, Center/Distinguished Visiting Scholars Program)

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* 1. Your first name:

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* 2. Your last name:

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* 3. How did you learn about the mentoring circles/Center for Diversity Innovation Distinguished Visiting Scholars program?

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* 4. Please indicate where you are in your program (as best fits):

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* 5. GRAD and UNDERGRAD STUDENTS:  Please indicate your department/program (e.g., "Public Health," "Sociology," or "Computer Science"), if you have a declared major/program. Please be as specific as possible.  If you are an undergraduate student with an undeclared major, please indicate the general area(s) in which you expect you might concentrate or which most interest you today (e.g., "Humanities," "Arts," "English," "").

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* 6. Please indicate the CDI Distinguished Visiting Scholars whose mentoring circle you'd like to join (please check all Scholars whom you would want as a mentor):

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* 7. Please indicate BY RANK (#1 = your top choice) the Scholars whose mentoring circle you'd like to join. The program will consider all of your choices, but will focus on your top 3 choices.

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* 8. Please briefly describe what caused you to choose the Scholar you ranked #1. Please record your top 3 so you can share more information with each of those 3 Scholars via a short statement you can upload to UB BOX (to be described).  If there is only one Scholar in whom you are interested, you need not describe others in the two questions that follow.

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* 9. Please briefly describe what caused you to choose the Scholar you ranked #2. (You will be able to provide a more detailed essay for the Scholar to read and learn more about you.)  SKIP IF YOU ONLY CHOSE 1 SCHOLAR.

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* 10. Please briefly describe what caused you to choose the Scholar you ranked #3. (You will be able to provide a more detailed essay for the Scholar to read and learn more about you.)  SKIP IF YOU ONLY CHOSE 1 or 2 SCHOLARS.

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* 11. On the next page, you will have the opportunity to upload a statement about yourself to each Scholar in whom you have expressed interest. But in a few words, what are you hoping to get out of the mentoring circle experience?

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* 12. The Center for Diversity Innovation is interested in how you currently feel about the mentoring/support you feel as a student at UB. There are no "right" or "wrong" answers to any of these questions. We are merely interested in better understanding how you feel as of Sept. 2020. Please indicate your level of agreement with each statement:

  Strongly disagree Somewhat disagree Neither agree nor disagree Somewhat agree Strongly agree
I feel as if I belong at UB.
I do not question my ability to succeed at UB.
I feel a sense of inclusion in my department/program.
I feel a sense of inclusion at UB as a whole.
I believe that a strong connection to a faculty member would positively affect my experience at UB.
Unrelated to the pandemic and required social distancing, I feel isolated at UB.
The idea of interacting (virtually and/or in person) with the Distinguished Visiting Scholars is exciting to me.
Based on my identity(ies), being at UB is stressful for me.

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* 13. How satisfied are you with your current access to UB faculty mentors?  

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* 14. Your UB email address (Correspondence will ONLY be sent to UB email addresses. Please monitor your UB email regularly for updates.):

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* 15. Would you like to be added to the email list for Scholar and other Center events?

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* 16. Please indicate by checking all boxes associated with your identities:

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* 17. Your gender/gender identity(ies):

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* 18. If you indicated that you are an American Indian, please indicate your tribal affiliation here:

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* 19. If you indicated that you identify as an immigrant, from what country did you emigrate?:

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