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Print out this page and fill in the requested information by June 1 to be considered for the mentor program for the following academic year. Send the completed form, with a copy of your CV, to the address at the bottom of this page.
aausc mentor program registration
new supervisors and coordinators
Name:
Title:
Your language(s):
Years as a supervisor/coordinator:
Institution:
Address if not clear on the CV:
Institutional Data:
Size of institution (FTE):
Number of TAs and adjuncts you supervise:
Number of students in the program you coordinate:
List your areas of research interest:
What problems are you currently addressing? (Please describe.)
In what professional development activities do you take part?
Please indicate three or four areas in which you would like your mentor to have experience. (Please realize that a match between your top priority and the experience of the mentor is not always possible.)
1.
2.
3.
4.
For my mentor, I prefer a: ____ male ____female ____ no preference
RETURN THIS FORM BY June 1 TO:
AAUSC Mentor Program
Attn: Prof. Kathryn A. Corl
Dept of Germanic Languages
Ohio State University
440 Cunz Hall, 1841 Millikin Rd
Columbus, OH 43210
Email: corl.1@osu.edu