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Contact Information

This is the application for the WomenTech Educators Online Training Fellowship, led by Donna Milgram for January 27 - April 4, 2014. We will email you within two business days to confirm receipt of your application. The application deadline is December 9, 2013. However, this training can fill quickly so please submit the application as early as possible. Thank you for applying.

A 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. If you are applying as part of a team, please enter your team name here (e.g. Greenville Technical College Engineering Department or "ATE Project Name" team).

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* 10. 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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