Request a Workshop

Contact InformationName of Contact Person

Institution/Organization

Department (optional)

Mailing address

City

State

Zip Code

Phone Number

Email Address

Which of the following best describes your organization:

Two-year college (Associate is the highest degree)
Private four-year primarily undergraduate (BS or BA is the highest degree)
Public four-year primarily undergraduate (BS or BA is the highest degree)
Masters granting (MS is the highest degree)
Doctoral granting (PhD is the highest degree)
Professional organization or group
Museum, community organization, or other

Workshop Format
What is your preferred workshop format (online/in-person) and length? Choices here are not final. The format of accepted workshops will be determined at the mutual convenience of host groups and workshop facilitators.

In-person 2 day
Virtual multi-session
Virtual single session

What do you want the primary focus of your workshop to be? Please review the list of workshop themes and formats (opens in a new window) before you choose a theme for your workshop. This selection is not final, and the specific sessions and agenda for the workshop will be negotiated with your assigned facilitator if you are selected to host a workshop.

2-day in person workshops:

Expected audiences (check all that apply):
Faculty teaching primarily undergraduate classes
Faculty teaching both undergraduate & graduate classes
Affiliated staff
Graduate students
Staff from other offices (e.g. Sustainability Office, Center for Teaching Excellence)

QuestionnaireFor the questions below, you may wish to compose your responses in a word processing program and copy and paste.

Why is your department/program/organization interested in the workshop?

What do you hope your group can accomplish in this workshop?

Why is now the right time for you to host a workshop? Please describe how a workshop now would fit into the current state of planning for and implementing change in your department/program/organization.

When do you wish to hold your workshop? Please list 2-4 options below. Please also indicate if you have deadlines that you are trying to meet, and when those are. Workshops will be scheduled at the mutual convenience of the workshop facilitators and the applicants. Keep in mind the need for organization participation and/or drawing participants from other departments, institutions, or organizations (as appropriate).

What is your plan for ensuring strong participation in the workshop? What is the estimated number of participants in this workshop? Who do you plan to target as participants? In order to facilitate planning and change, it is important to have buy-in from all participants.

Other InformationHow did you hear about this program?

Email announcement
Brochure/promotional material
Browsing the internet
From the NAGT website or newsletter
From the Building Strong Geoscience Departments website
From the InTeGrate website
From the article published in Eos
Word of mouth
Other

If there is other information relevant to your application, please let us know here.

Host Agreement

By completing this request, I certify that if the Department/Program/Institution/Group is selected to host a workshop, we will meet the expectations outlined for the workshop requested.

Please review the workshop process (opens in new window), including host responsibilities and fees and contracts, before submitting.

Name of Department Chair (or equivalent)

Email Address of Department Chair (or equivalent)