2013 Tag Organizer Application

Applications must be completed by December 15, 2012.

Question Title

1. LEAD ORGANIZER INFORMATION

Last Name

First Name

Host Institution

Host Department

Mailing Address

City

State

ZIP

Email Address

Phone

Question Title

2. COLLABORATING ORGANIZER

Last Name

First Name

Institution

Department

Mailing Address

City

State

ZIP

Phone

Question Title

3. OTHER INSTITUTIONS/SCHOOLS (if any) COLLABORATING ON THIS WORKSHOP

Institution/School

Question Title

4. Weeks during which you could hold your 3-day teacher workshop.

	Yes	No	Possibly
Week of July 8	Week of July 8 Yes	Week of July 8 No	Week of July 8 Possibly
Week of July 15	Week of July 15 Yes	Week of July 15 No	Week of July 15 Possibly
Week of July 22	Week of July 22 Yes	Week of July 22 No	Week of July 22 Possibly
Week of July 29	Week of July 29 Yes	Week of July 29 No	Week of July 29 Possibly
Week of Aug 5	Week of Aug 5 Yes	Week of Aug 5 No	Week of Aug 5 Possibly
Week of Aug 12	Week of Aug 12 Yes	Week of Aug 12 No	Week of Aug 12 Possibly

Question Title

5. What diversity initiatives are already established at your organizer institution?

None

Open House designed to attract diverse students

Intro course section for inexperienced students

Articulation agreement with community colleges

Active recruitment from intro courses

Road Show or other outreach programs

ACM-W Chapter

CRA-W Program participation

Other (please specify)

Question Title

6. Over the past four years, what was the average women's percentage of introductory CS course enrollment at the lead organizing institution?

Less than 10% of the course enrollment was women

10% - 19% women

20% - 29% women

30% - 40% women

More than 40% women

The lead organizing institution is a women's college

Question Title

7. Please indicate the available institutional resources and facilities for holding your teacher workshop.

None

Conference services

On-campus housing

Administrative support

Physical space for 25 - 40 people at low cost or free

Funding sources for future workshops

Faculty members who are potential speakers

Other (please specify)

Question Title

8. Which weekends would you be available for a one day organizer training meeting?

	Yes	No	Possibly
January 12	January 12 Yes	January 12 No	January 12 Possibly
January 19	January 19 Yes	January 19 No	January 19 Possibly
January 26	January 26 Yes	January 26 No	January 26 Possibly
February 2	February 2 Yes	February 2 No	February 2 Possibly
February 9	February 9 Yes	February 9 No	February 9 Possibly

Question Title

9. Please tell us anything else you think we should consider when deciding on your application.

Application decisions will be made in late December.