This application is to participate in a 2018 Faculty Learning Community. Participation in a faculty learning community requires a 1 or 2-semester commitment. If you wish to apply for more than one FLC, please complete a separate application for each FLC.

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* 1. Name:

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* 2. Employment Status:

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* 3. Academic Unit:

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* 4. Department (if applicable):

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* 5. Campus Mailing Address:

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* 6. Preferred Phone:

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* 7. Email Address:

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* 8. Name of department chair or dean who supports your participation in this FLC:

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* 9. Which FLC are you applying for?

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* 10. Attendance is required at all but one of the meetings for your FLC. Please note any times you cannot meet (times you are teaching, dates you will be away for conferences, etc.)

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* 11. Participating in an FLC requires each member to explore the topic of the FLC in relation to the courses they teach during 2018.  What courses will you be teaching and using for this purpose?

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* 12. Why are you interested in participating in this FLC?  What specific challenge(s) or question(s) related to the FLC topic would you like to investigate? Please be specific about the challenge/question you would like to explore, including the specific teaching or learning outcomes you would like to change or improve, and why you believe this FLC will improve those outcomes.
[recommended response length: 300-400 words]

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* 13. Have you previously participated in an FLC sponsored by the Delphi Center?

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* 14. I understand that my participation in an FLC requires a serious commitment on my part to enjoy maximum benefit as an instructor.  If I am selected as a participant, I agree to fully participate and engage in the faculty learning community meetings and activities, and complete projects, readings, and documents as requested.

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