FACULTY MENTORING PROGRAM at UTD F15 to S16 Please return this application to: Homer Montgomery, Chair, Committee on Faculty Mentoring FN 3.308H FN33 mont@utdallas.edu Contact Information Name __________________________________________________________ Department / School _________________________________________________ Academic Title______________________________________________________ Phone___________________ Email_____________________________________ Please check areas of research activity you would like to discuss with a mentor: ___ Identifying research topics ___ Identifying funding opportunities ___ Conducting research ___Grant writing ___ Manuscript preparation/writing ___ Computer/statistical skills ___ Presentations ___ Developing a research portfolio ___ Publishing ___ Other ______________________________________________________________ Please check areas of teaching activity you would like to discuss with a mentor: ___ Developing a course ___ Dealing with difficult students ___ Preparing classes (lectures) ___ Balancing teaching/research ___ Delivering classes (lectures) ___ Using technology/distance education ___ Developing quizzes or exams ___ Innovative classroom experiences ___ Grading ___ Other ______________________________________________________________ Please check areas of professional activity you would like to discuss with a mentor: ___ Understanding promotion and tenure ___ Identifying collaborators/partners ___ Developing a plan for career advancement ___ Communication skills and networking ___ Finding your professional niche ___ Connecting to local/community resources ___ Accessing/utilizing institutional support ___ Connecting to industry ___ Prioritizing professional demands ___ Balancing personal/professional demands ___ Improving time management Page 1 of 3 ___ Other _____________________________________________________________ Choosing Mentors Mentors serve many purposes, including offering social support, advice and guidance about research, teaching, service, UTD specific policies, and your research field more generally. Please name individuals you might want as mentors. They might include faculty or peers at UTD, faculty or peers at other institutions, community, corporate, or industry professionals. An excellent starting point would be a faculty member at UTD. If you have not yet identified anyone you would like to have as a mentor, please apply to the Mentoring program anyway; we will help you identify a mentor at UTD. You must include contact information: Name____________________________________________________________________ Address/Email/Phone______________________________________________________ _ _________________________________________________________________________ _________________________________________________________________________ This person is: □ UTD Senior faculty □ Non-UTD senior faculty or professional □ UTD Peer faculty □ Non-UTD peer faculty or professional Name____________________________________________________________________ Address/Email/Phone______________________________________________________ _ _________________________________________________________________________ _________________________________________________________________________ This person is: □ UTD Senior faculty □ Non-UTD senior faculty or professional □ UTD Peer faculty □ Non-UTD peer faculty or professional Name____________________________________________________________________ Address/Email/Phone______________________________________________________ _ _________________________________________________________________________ _________________________________________________________________________ This person is: □ UTD Senior faculty □ Non-UTD senior faculty or professional □ UTD Peer faculty □ Non-UTD peer faculty or professional Name____________________________________________________________________ Address/Email/Phone______________________________________________________ _ _________________________________________________________________________ _________________________________________________________________________ This person is: □ UTD Senior faculty □ Non-UTD senior faculty or professional □ UTD Peer faculty □ Non-UTD peer faculty or professional Page 2 of 3 Your answers to the following questions will help focus meetings between you and your mentor. What do you consider to be the most major obstacles in attaining your career goals? _______________________________________________________________________________________ _______________________________________________________________________________________ What do you consider to be your strongest skills/strengths? _______________________________________________________________________________________ _______________________________________________________________________________________ What are the most important areas you would like to enhance during the next year of mentoring? _______________________________________________________________________________________ _______________________________________________________________________________________ Please list any other comments or questions regarding your expectations and participation in the faculty mentoring program. _______________________________________________________________________________________ _______________________________________________________________________________________ ______________________________________________________________________________________ Thank you for your participation! If you have any questions, please contact: Homer Montgomery at mont@utdallas.edu x2480 (469.951.8110) or Elizabeth Rugg at elr120030@utdallas.edu x6679 Page 3 of 3