Qualtrics Survey | Qualtrics Experience Management

First Name

Last Name

Faculty Rank

Department

Email

Statement of Interest: Please include- 1. Why you are applying. 2. What you hope to learn. 3. How participation in TSP will enhance your role as a health professions educator. 4. How TSP fits with your career goals. 5. A stated commitment to attend at least 75% of the sessions (required).

Curriculum Vitae

Letter of Support from Department Chair/Program Director: Upload a letter from your department chair/program director that outlines and approves the delineation of time to be made available for you to participate in the Teaching Scholars Program sessions and associated project (required). Please note, this is NOT a letter of recommendation.

List of works (papers/ presentations) in progress (optional)