Faculty Traveling Seminar -Application Form

Please complete and submit the form below to be considered for the 2009 Faculty Traveling Seminar scheduled for June 1–5.

Be sure to attach your curriculum vitae and click the “submit” button at the bottom of the page, or the application will not be complete. You will receive an emailed confirmation when the application has been submitted successfully.

Fields marked with an asterisk * are required.

First Name:*

Last Name:*

Preferred Name:

Academic Title:*

Other:

Please select all that apply:*

New faculty member
Recently appointed department chair
Newly appointed dean
Recently tenured faculty member
New senior administrator

College or School Affiliation:*

Other:

Department:*

Campus Address:*

Campus Email:*

Campus Phone:*

Home Address:*

City:*

State:*

Zip:*

Home Phone:*

Cell Phone:

Preferred method of contact:*

Campus Phone Campus Email Home Phone Cell Phone

Please note: If you are selected to participate, the following information will be included in the 2009 Faculty Traveling Seminar website and photo directory.

What year did you join Rutgers?

Year:

With what institution were you affiliated before coming to Rutgers?

Institution:*

City:*

State/Country:*

Originally from (town/city and state or country):*

Prior to joining Rutgers, did you ever live in New Jersey? *

Yes No

* (if yes, indicate number of years)

Degrees (List all degrees and full name of each institution):*

Research interests (please use single words or short phrases):*

Hobbies:*

	File size must be less then 2M.
Please attach your curriculum vitae:

Please review your responses and click the “submit” button to send your application. You will receive an emailed confirmation when the application has been submitted successfully.

If you have any questions or problems, please call 732-932-7823, ext. 674., or send an email to Sherri Somers.

Faculty Traveling Seminar