Teaching Portfolio Award for Graduate Students
Intent to Submit

Please submit this form to indicate you interest in participating in the award program. After we have received your information, an ITLAL staff member will contact you to begin the consultation process. Final portfolio entries will be due by 5:00 PM on Friday, February 5, 2010. After providing the information requested below, be sure to click on Review Registration Information at the bottom of the form.

Personal Information
First name*: Last name*:
Email*: Phone #*:
Department*:
Have you already started assembling a Teaching Portfolio?
Yes, most items in place I have written a Statement of Teaching Philosophy but do not have any other items I have not started writing a Statement of Teaching Philosophy or assembling a Portfolio
What kind of faculty position(s) do you anticipate applying for when you complete your degree?
Research institution Four-year teaching institution Two-year teaching institution Community college
Where do you think you will need the most help in developing a Teaching Portfolio?

How did you hear about the Teaching Portfolio Award Program?
Email Flyer Website Graduate Advisor Other