Application for CSWEP Mentoring Workshop (CeMent) at the Western Economic Association Meetings in San Diego, CA, June 23 and 24, 2017
Name and Contact Information
Have you applied to the CeMENT workshop in a prior year?
Have you completed your Ph.D.?
In what year did you receive or do you expect to receive your Ph.D.?
Name of Ph.D. institution:
Name of your current institution of employment:
In which department(s) are you appointed?
What is the highest degree offered by your department?
no degree offered
What is your job title?
Associate Professor (without tenure)
In what month did you begin this position?
In what year did you begin this position?
Does your current institution consider you to be employed
What is your tenure status at this institution?
On tenure track but not tenured
Not on tenure track although the institution has a tenure system
No tenure system at this institution
In what year do you expect to be evaluated for tenure? If not in a tenurable position, please respond "N/A."
What is your primary area of research?
What is your secondary area of research, if any?
What is the standard teaching load in your department per year? (Please indicate semester or quarter courses.)
In the order that best matches your teaching interests, please list the courses that you have taught in the last 5 years.
If you were to assess tenure decisions at your institution, to what extent are these based on teaching, research, and service? Provide a percentage estimate for each category below.
Single never married
Living with a partner
Separated or divorced or widowed
If married or living with a partner, what is the highest level of education of your spouse or partner?
Associate or Vocational Degree
If married or living with a partner, is your partner employed in a professional position at an institution of higher education?
Yes--at this institution
Yes--at another institution of higher education
Do you have children?
If yes, please list the ages of your children.
Do you currently have someone whom you would consider a mentor?
If yes, is this person in your department?
If yes, is this person
Do you currently anticipate being in an academic position in 10 years time?
Submit this survey to complete this part of the application. Then e-mail the following information to firstname.lastname@example.org by December 1, 2016. The files should be included as attachments in the e-mail in pdf format. The subject line on the e-mail should read: Firstname Lastname CeMENT application.