Name

E-mail

Institution

Department

Date of PhD

Date of Tenure

Date of Promotion
to Associate Professor

You are appliying to:
CAPP-E (Education)    CAPP-R (Research)

Short Bio (1 paragraph and 150 words or less)

Area(s) of Research or Teaching Focus

Last year's participants asked for time to meet indivudally with the Distingushed Professors. Would you like to schedule an individual visit?
YES NO
If so, please bring a current CV.

We will try to provide funding for all participants. If you would like to apply for this funding, please give us an estimate of your travel expenses (excluding the hotel):

Any special considerations/circumstances