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Faculty Partner Application
Applying to be a CTIP Faculty Partner
College Technology Interns Application
Fields marked with a
*
are required.
Personal Information
Name
*
Email
*
Department
*
Afro-American and African Studies
American Sign Language
American Studies
Anthropology
Archaeology
Architectural History
Art History
Art
Asian and Middle Eastern Languages and Culture
Astronomy
Astro-Physics
Bioethics
Biology
Developmental Biology
Biophysics
Chemistry
Classics
Cognitive Science
Comparative Literature
Drama
East Asian Studies
Economics
English
Environmental Sciences
Environmental Thought and Practice
French
German
History
Human Biology
Jewish Studies
Latin American Studies
Linguistics
Mathematics
Media Studies
Medieval Studies
Middle East Studies
Music
Neuroscience
Philosophy
Physics
Political and Social Thought
Politics
Psychology
Religious Studies
Russian Studies
Slavic
Sociology
Spanish Italian and Portuguese
Statistics
Studies in Women and Gender
Teacher Education
Other
UVA P.O. Box
*
Work phone
*
Home phone
Personal web site urls, if any (use commas to separate multiple entries):
http://
Current technology skills, if any (for ex., Word, Excel, Dreamweaver, etc.):
*
Course Information
Course you would like to develop under the auspices of CTIP (if you are interested in developing more than one course, please fill out an application for each course):
Course Number
*
Course Name
*
Course url (if any)
# students
Course Description:
*
What technology tools do you currently use in this class (if any)?
*
Write a paragraph up to 350 words describing your ideas and technology needs for using technology to enhance your class:
*
Write a short paragraph up to 200 words indicating what technology and other skills you are interested in developing as a Faculty Partner:
*
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