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Mentoring Academic-Research Careers (MARC)

Mentor Enrollment Form

MARC enrollment forms must be received by September 22, 2007.

Questions? Please consult the FAQs on the ASHA Web site.

Still have questions? Contact Silvia Quevedo at marc@asha.org, or call 301-897-5700, ext. 4398.

* Indicates a required field

First Name:*
 
Last Name:*
 
University:*
 
E-mail address where you wish to receive MARC correspondence:*
 

Did you serve as a MARC mentor previously?* (Check one.)
 
What is your current employment function/faculty rank?*
Please note that only tenured faculty who hold the PhD degree are eligible to serve as mark mentors. (Check all that apply.)
Associate professor
Professor
Director/chair of educational program
Director/chair of research program
Director/supervisor of clinical program
Retired*
Other+
 
*If retired, please specify last position held:
+If other, please specify:

What is your professional area?* (Check all that apply.)
Audiology
Speech-language pathology
Speech, language and/or hearing science
Other*
 
*If other, please specify:

What is your major area of concentration?*
(Please note that this is not the basis for matching you with a mentor.)
 

What is the primary focus of your institution?* (Check one.)
 
What level of mentoring do you prefer?* (Check all that apply.)
Mentoring PhD program applicants
Mentoring PhD students
Mentoring postdoctoral fellows
Mentoring junior-level faculty
 
Are you willing to mentor more than one mentee?* (Check one.)
 

For which topics can you mentor?* (Check all that apply.)
The goal of the MARC program is to provide mentoring on professional issues related to serving as a teacher-researcher and careers in academe. You will be matched with a mentee based on the following mentoring topics:
Guidance on applying to/selecting a PhD program
Guidance on completing a doctoral dissertation
Recommendations for finding/selecting a faculty position
Help preparing curriculum vitae and help with job interviews and negotiating a start-up package
Advice on teaching and service activities
Guidance on managing a research program
Advice on tenure and promotion
Advice on grant writing and the grant review process
Guidance on journal submissions and the review process
Advice on postdoctoral positions (e.g., locating, applying, maximizing postdoc experience)
 
If other, please specify:


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