ASEE LGBTQ+ Advocacy in STEM Virtual Community of Practice

Application Form

Please complete this brief application to confirm your interest in participating in ASEE's ongoing LGBTQ+ Advocacy in STEM Virtual Community of Practice (VCP). We accept applications at any time; applications will be reviewed and considered on an ongoing basis. We reserve the right to decline applications. Please note that we roll on new members two times per year, in February and August.

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* 1. Please provide the following basic information.

Name

Position/Job Title

Department

Institution

State/Province

Email Address

Daytime Phone Number

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* 2. Briefly tell us why you would like to participate in the ASEE LGBTQ+ Advoacy in STEM VCP.

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* 3. Briefly describe your experience as a teacher and/or mentor of STEM students.

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* 4. Briefly describe any experience you've had working with diverse groups of people, or any activity related to diversity/inclusion/social justice.

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* 5. Briefly describe your background and/or experience facilitating discussions or group dialogues. Please note that prior experience as a Safe Zone workshop facilitator is not necessary.

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* 6. Please use the space below if you have any further information or comments.

If you have any questions about this application or the VCP, please email us at diversity@asee.org or contact PI Stephanie Farrell directly at farrell@rowan.edu.