The Fall 2016 Northwest PULSE Departmental Transformation Workshop

October 14-16, 2016, Seattle WA Application for Institutional Team Due June 3, 2016

Please complete this team form and a form for each individual member of the team (located after the team form) and email your completed application forms to Gary Reiness: [email protected]

Institution: Institution Type (Community College, Liberal Arts, Regional Comprehensive, or Research 1): Are you a minority serving institution or do you have a high population of underrepresented students? (e.g. rural, first generation, etc.)

Team Lead Name (primary contact person):

1. Please describe why you believe that your department is ready to embrace a strategic planning process to improve undergraduate education in the life sciences consistent with the AAAS Vision and Change (V&C) Report.

2. Please describe why the composition of your team is appropriate for strategic change in undergraduate life science teaching and learning at your institution.

PULSE founded by the National Science Foundation, Howard Hughes Medical Institute, and National Institute of General Medical Sciences. Northwest PULSE workshops funded by NSF Grant #DBI #1346583 3. Briefly describe what goals your departmental team hopes to achieve, work on, or develop as the result of your participation in this workshop.

4. We understand that if selected to participate in the workshop, each member of our team will commit to completing pre-workshop activities. These will include each institutional team using the V&C document and a series of PULSE rubrics (see PULSECommunity.org for more information) to assess the current status of their department.

____ Yes _____ We cannot make this commitment at this time

5. We understand that if selected to participate in the workshop, one member of our team will commit to attending the follow-up symposium at the NW Biology Instructors’ Annual Meeting in May 2017.

____ Yes _____ We cannot make this commitment at this time

Email your completed application form to Gary Reiness: [email protected]

Questions about the workshop should be directed to Gary Reiness: [email protected]

The NW PULSE fellows on the Steering Committee: Joann Otto (Western Washington University, Co-PI), Pamela Pape-Lindstrom (Everett Community College, co-PI), Bill Davis (Washington State University, PI), Gary Reiness (Lewis & Clark College, co-PI), Gita Bangera (Bellevue College), Alyce DeMarais (University of Puget Sound) and Jenny McFarland (Edmonds Community College).

PULSE founded by the National Science Foundation, Howard Hughes Medical Institute, and National Institute of General Medical Sciences. Northwest PULSE workshops funded by NSF Grants #DBI #1346583 and #1346583 The Fall 2016 Northwest PULSE Departmental Transformation Workshop

October 14-16, 2016, Seattle WA Application for each Team Member

Institution:

Participant Name:

Mailing Address:

E-Mail Address:

Phone:

Current Position / Title:1

Department:

1. Please list the courses you have taught in the last 5 years and their levels. Also, please indicate your role in the course (lecturer, TA, organizer) and the course size.

2. Please discuss your motivation(s) for attending this workshop. What you would most like to accomplish, begin, and/or learn?

Have you incorporated any of the recommendations in the Vision and Change document into your teaching? If so, which ones?

1 Please note if you are in an adjunct, part-time or temporary/interim position.

PULSE founded by the National Science Foundation, Howard Hughes Medical Institute, and National Institute of General Medical Sciences. Northwest PULSE workshops funded by NSF Grants #DBI #1346583 and #1346583 How will your team’s participation in this workshop serve your own teaching and your students?

3. Please describe a previous faculty development activity, workshop, or conference that has changed how you teach and has the potential to affect others in your department.

4. I understand that if selected to participate in the workshop, I commit to attending the entire workshop.

____ Yes, I can attend the entire workshop _____ I cannot make this commitment at this time

If an emergency prevents your attendance, please contact us in advance as soon as possible so that we can plan accordingly.

PULSE founded by the National Science Foundation, Howard Hughes Medical Institute, and National Institute of General Medical Sciences. Northwest PULSE workshops funded by NSF Grants #DBI #1346583 and #1346583