 |
||
 |
Print this page (2 pages) | |
Affiliated
Faculty / Student Application
| MAIL TO: African American Studies & Research Program 102 Breckinridge Hall Lexington, KY 40506-0056 |
Full Name: ________________________________________________________
Department: _______________________________________________________
| Campus Address: | _______________________________________ _______________________________________ _______________________________________ |
E-mail Address: ____________________________________________________
Campus Phone: (_______) ___________ - ___________
Terminal Degree: _______________________________
Type of Affiliation (check one): Faculty (_____) or Student
(_____)
1) Please mark ( X ) your reason(s) for becoming an affiliated faculty member.
_____ |
A) I teach a course listed under the AASRP curriculum. |
_____ |
B) I want to cross-list a course with AASRP. |
_____ |
C) I am conducting research on the African diaspora |
_____ |
D) I would like to searve on an AASRP committee |
2) List the courses you are currently teaching
under AASRP.
3) List any new courses are plan to offer in the future.
4) Which of the following committees would you like to serve on?
_____ |
Black Women's Conference | _____ |
Ad Hoc Committee |
_____ |
Charles H. Wesley Prize | _____ |
Graduate Studies Committee |
_____ |
Library | _____ |
Undergraduate Studies Committee |
_____ |
Outreach |
5) Have you published any works on Africans or
African Americans? If so, please list a maximum of three publications.
1. ______________________________________________________________
2. ______________________________________________________________
3. ______________________________________________________________
6) Have you received any grants to conduct research on African American
issues? If so, briefly explain.
7) What can AASRP do to better serve your research and teaching interest?
