Thank you for your interest in 1) helping to develop toxicology case study online modules and/or 2) your interest in enhancing active learning elements in current ToxMSDT modules. 

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* 1. Provide your contact information.

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* 2. Briefly describe your activities related to teaching science undergraduates.

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* 3. If you are not currently serving as a faculty member with primary responsibilities teaching undergraduates, what experiences and skills might you contribute to the development and review of modules?

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* 4. Indicate your interest in the following roles. (Multiple selection allowed)

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* 5. Which of these existing modules are you interested in reviewing and enhancing? They are found on the ToxMSDT site. (Multiple selection allowed)

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* 6. Describe any active learning activities/case studies that you have designed that might be relevant for module development. 

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* 7. Provide a description of any active learning activities/case studies that you use that might inform the development of new modules.

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* 8. Have you participated in any curriculum development projects or attended any relevant pedagogical workshops? If so, please describe.

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* 9. Upload a copy of your current CV.

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* 10. Provide other information that would be helpful for the ToxMSDT module project.

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