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Contact Information

This is the application for the NSF-funded WomenTech Educators Online Bootcamp hosted by the CTC, led by Donna Milgram. We will email you within 2 business days to confirm receipt of your application. The application deadline is Friday, November 20, 2015. However, this training can fill quickly so please submit the application as early as possible. Thank you for applying.

Please note that only teams of 6 educators from a community college STEM program where female students are underrepresented are eligible for this NSF-funded program. See the website for more information on applying as a team. Each of your team members must fill out this online application and submit a signed letter of commitment from her/his dean. The letter of commitment from your dean is a required component of this application. Click here to download the letter (PDF).

Note: If you are unable to submit the letter from your dean by the application deadline, go ahead and apply anyway. Contact us at seminars@iwitts.org and we will try accommodate you.

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* 1. Last Name

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* 2. First Name

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* 3. Job Title

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* 4. Institution

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* 5. Email Address

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* 6. Phone Number

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* 7. Physical Address (City, State, ZIP)

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* 8. Dean name and title (If you are a dean, your supervisor):

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* 9. Dean email address:

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* 10. The CTC can offer classroom space at Collin College’s Preston Ridge campus (Frisco, Texas) and lunch for local North Texas teams. Would you like to request use of Collin College classroom space?

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* 11. The CTC can reimburse mileage only for those who live an hour or more away from Frisco, Texas. Would you like to request mileage reimbursement?

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* 12. Please enter your team name here (e.g. Greenville Technical College Engineering Department or "ATE Project Name" team). Consider creating a fun team name! Some examples of team names used in our most recent online training are “Motherboards of Invention” and “Pi-rates.”

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* 13. Are you the key contact for your team? This person will be our main contact for your team during the application process.

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