Program in Cellular and Molecular Biology (CMB)
Trainer Review Form
Please return completed form to Jessica Skarlupka, CMB Coordinator,
413 Bock Labs, cmb@bocklabs.wisc.edu, 262-3203
Membership in the CMB Program is reviewed every five years. The criteria of evaluation will consist of
participation in CMB Program activities, funding, relevance of research, and track record of graduate
student training, with an emphasis on the latter. In particular, the review committee will consider the
relative success, productivity and time-to-degree for your graduate students. Circumstances that can
result in loss of trainer status include, but are not limited to: loss of funding for multiple years, a lack of
participation in CMB Program student training and activities, failure to provide accurate and complete
information on this form, failure to provide evidence of the graduate training environment in your
laboratory. The information you provide in this questionnaire will be used to evaluate your continued
participation in the CMB Program. If you have any questions regarding this review please contact
David Wassarman, Program Chair, 262-6648 or dawassarman@wisc.edu.
Your Name:
Faculty Rank (e.g. assistant, associate, full):
How many years have you been a faculty member?
How many years have you been a faculty member at UW-Madison?
Home department:
Affiliation with campus training grants (examples: MBTG, BTP, ChemBio Interface, etc):
Address:
Phone:
E-Mail:
Lab web page URL:
Focus Group Primary:
Focus Group Secondary:
(Focus group choices: Cancer Biology, Cell Adhesion & Cytoskeleton, Cellular & Molecular Metabolism,
Developmental Biology & Regenerative Medicine, Immunology, Membrane Biology & Protein Trafficking,
Molecular & Genome Biology of Microbes, Plant Biology, RNA, Systems Biology, Transcriptional
Mechanisms, Virology)
**ATTACH A 4-PAGE NIH FORMAT BIOSKETCH
PLEASE ANSWER THE FOLLOWING QUESTIONS
1. PRIMARY FIELD OF RESEARCH (to be used on CMB website)
a. Briefly summarize your research in cellular and/or molecular biology in a short paragraph.
b. Provide a 3-5 word (1 phrase) research description:
Page 1 of 3
2. PARTICIPATION IN GRADUATE STUDENT TRAINING
a. Please list all graduate students who have trained in your lab for longer than a rotation
(including students who may have left your lab with no degree and students in other programs)
Please list information for the past five years. Please add additional rows to the table if
necessary.
Training Period
Graduate
Program
Name
(Start & End
Dates)
Degree
Acquired
Current position or source
of support
(PhD, MS)
b. Please list all post docs who have trained in your lab over the past five years. Please add
additional rows to the table if necessary
Name
Training Period (Start
& End Dates)
Current position or source of support
c. What do you consider your mentoring responsibilities toward your graduate students?
(Please describe in one paragraph)
d. List any mentor training workshops you have participated in through CMB or elsewhere on
campus (title of workshop and date attended)
e. List activities offered by you and your lab group that provide graduate training in cellular
and/or molecular biology (e.g. joint lab meetings, journal clubs, directed reading, interactions
with primary and/or secondary focus groups)
f. List publications of your graduate students from the past five years (BOLD the name of your
graduate student in each listing).
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3. FUNDING INFORMATION
Please add additional rows if necessary.
Active:
Name
Agency and
Grant No.
Grant Title
Entire Support
Period
Current Year
Support ($)
Pending:
4. PARTICIPATION IN THE CMB PROGRAM
In this section, please describe your involvement in the CMB Program. Please list things such
as CMB thesis committees you serve/have served on, CMB activities or events you have
participated in such as recruiting, orientation, mentor training sessions, serving on professional
development panels, diversity initiatives, etc., and any CMB standing or ad hoc committees you
have served on.
a. List your CMB involvement over the past five years. Please add additional rows if necessary.
CMB Involvement
Dates of Participation
b. List all graduate course(s) you teach in cellular and/or molecular biology. Please add
additional rows if necessary.
Course name
Dept./Course #
Dates of course
(i.e., every spring
semester, every other
spring semester)
Page 3 of 3
Number of lectures
(i.e., MWF or Once a week)