FASTStart Online Registration Form

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Full Name:
Preferred Name (how you would like to be addressed):
Position:
Departmental Affiliation:
Email:
Mailing Address:
Phone:

Degrees (what, where, when):


Other experience (what, where, when):


Area(s) of research specialization:


Teaching (course number, name, semester, weekly schedule):


Personal interests, hobbies, other things we should know about you:


What are your strengths as an instructor? As a researcher?


What are your weaknesses as an instructor and as a researcher, and which of these weaknesses would you most like to work on during this academic year?


Do you have any needs or concerns about your research responsibilities?


Do you have any needs or concerns about your teaching responsibilities?


Are there any other topics or areas that you would like to see this workshop address?


  

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