FACULTY DEVELOPMENT COMMITTEE
UCO's Chair Academy
Scholarship Application
(for $500 registration fee only, which includes
program costs, materials, meals, and lodging)

Scholarship Application DEADLINE: March 9, 2012

The Faculty Development Committee (FDC) plans to sponsor a limited number of Southwestern Department Chairs for the $500 registration fee to attend UCO's Chair Academy, which is scheduled for
May 23-25, 2012.  For more information on this academy, please see the following website:



If you are interested in attending the Chair Academy, please complete and submit this scholarship application by March 9, 2012.  If selected for the scholarship, you will be asked to complete the Chair Academy application and other documentation.

First Name:
Last Name:
Department:

SWOSU hire date (approximate):
How many total years have you been a Department Chair?
1 year or less
2 years
3 years
4 years or more

Briefly list contributions you have made to higher education.  You are limited to 2500 characters, or about 400 words.
Briefly list contributions you have made to Southwestern OK State University.  You are limited to 2500 characters, or about 400 words.

I understand that, if I am chosen for the scholarship, the Faculty Development Committee (FDC) will take responsibility for the $500 registration fee.  Travel costs are expected to be paid by respective departments.
Yes
No
Does your Associate Dean and/or Dean support your attendance to the Chair Academy?
Yes
No

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