COLLABORATIVE INQUIRY COMMUNITIES
College of Arts and Sciences
and
Office of Faculty Development
2015-16 APPLICATION
Due Date: September 25, 2015
Collaborative Inquiry Communities will focus on discussions and develop tools for success
inside and outside the classroom. Participants will develop techniques to help students
remain engaged while overcoming the typical barriers often encountered in introductory
and advanced courses.
The program brings about teacher-scholars who are committed to working together
collaboratively to emerge as education leaders within their departments. Selected
participants will receive a stipend of $1,000 for the year and will be required to attend a 90
minute discussion group twice each month.
Choose one:
___ Social Science and the Humanities
___ Science and Mathematics
1. Personal Information
First Name:
_________________________________________________
Last Name:
_________________________________________________
Title:
_________________________________________________
Department:
_________________________________________________
University Address: _________________________________________________
Phone Number:
_________________________________________________
Email address:
_________________________________________________
2. Appointment Type (i.e. Full-time; Term, Part-time, other)
o Full time:
o Part time:
3. How long have you been a faculty or staff member at Western Michigan University?
_________________________________________________
4. I am prepared to commit to attending all sessions of the Collaborative Inquiry
Community.
o YES
o NO
5. What skills and competencies are you interested in developing through participation in
the CIC?
______________________________________________________________________
________________________________________________________________________
____________________________________________________________________
______________________________________________________________________
6. I understand that I will be required to deliver a product related to the CIC in a chosen
course and agree to participate in this element. (Products could include development of
new learning methods, restructuring the syllabus, etc.)
o YES
o NO
7. I understand that I am required to participate in reading material from a selected book and
actively participate in discussions.
o YES
o NO
8. Please respond to the following questions. Why do you wish to participate in this CIC?
What do you hope to gain? What will you bring to the discussion?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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