| SUBMISSION FORM |
| Please provide your personal contact information. |
| *First Name: |
|
| *Last Name: |
|
| *Address Line 1: |
|
| Address Line 2: |
|
| Address Line 3: |
|
| City: |
|
| State: |
|
| Zip or Postal Code: |
|
| *Country: |
|
| *Telephone: |
|
| Fax: |
|
| Personal Website: after http:// |
|
| *Enter your preferred email: |
|
| *Re-enter Email: |
|
| Please provide your educational background. |
| *BA/BS in field/discipline/major(s): |
|
| *BA/BS Institution: |
|
| *BA/BS awarded in (YYYY): |
|
| Masters in field/discipline: |
|
| Masters Institution: |
|
| Masters awarded in (YYYY): |
|
| *PhD or equivalent in field/discipline: |
|
| *PhD Institution: |
|
| *PhD awarded in (YYYY): |
|
| Other graduate degrees? Please specify field, institution and year the degree was awarded: |
|
| *Upload your CV as a PDF: |
|
| Please provide information on your current position. |
| Position/Title: |
|
| Department/Program: |
|
| Institutional Affiliation: |
|
| Institution's City: |
|
| Institution's State: |
|
| *Institutional Type: |
|
| *Size of Student Body: |
|
| *Religious Affiliation of Institution: |
|
| Dept/Program Awards Undergraduate Degrees? |
|
| Specify other undergraduate awards like minor or certificate: |
|
| Dept/Program Awards Graduate Degrees? |
|
| Specify other graduate awards like certificate or concentration: |
|
| Specify other positions (and institutions) that you have held: |
|
| Please provide information about your relevant experience. |
| *Do you have experience in teaching in a peace and justice studies program? Describe. At what level? Length of time? Key experiences: |
|
| *List relevant courses you have taught: |
|
| Do you have experience founding or leading a peace and justice studies program? If so, please briefly describe and provide dates: |
|
| Have you ever participated in a program review of your program? (when, describe experience): |
|
| Have you ever reviewed an academic program before? A peace and justice studies program?
Explain. |
|
| Have you published in the field of peace and justice studies? Explain. |
|
| Have you published in the field of academic assessment? Explain. |
|
| Have you published in the field of pedagogy innovation? Explain. |
|
| Would you like to mention any other relevant experience? |
|
| Today's Date: |
|
|
|
| After clicking the Next >> button, please allow 10 seconds for the page to load. |
|
* denotes required field |
