2019 Sullivan Summit - Proposal Form

DEADLINE: January 18, 2019

Please use the form below to submit proposals for the Sullivan Foundation's Faculty-Staff Summit, held in Raleigh NC on April 5-7, 2019.

Question Title

* 1. Contact Information:

Name

Institution

Email Address

Phone Number

Question Title

* 2. Institutional Role:

Job Title

Department

Question Title

* 3. Are you primarily:*

Faculty

Staff

Administrator

Hybrid (e.g., staff w/ faculty rank)

Other (please specify)

*Please note institutional role has no bearing on proposal selection - we just like to know where people are coming from!

Question Title

* 4. Proposal Type:

Best Practice

Workshop

Other (please specify)

Question Title

* 5. Proposal Info:

Title

Ideal No. of Participants

Materials needed (if any)

Question Title

* 6. Proposal Description (~100-150 words)

Thank you for your proposal! We expect to send notifications out by the end of January.

If you have any questions, please contact Rich Meagher, Sullivan Faculty-Staff Fellowship Director, at richardmeagher@rmc.edu.

Please click the "DONE" button below to submit.