H&S Returning and Community Scholars Questionaire

Thank you for your interest in making an intellectual connection with the College of Humanities and Sciences. Before completing this form, we encourage you to discuss possible opportunities with the appropriate departments/programs. Once you have completed this questionnaire you will be included in our database. Our department chairs and program directors will have access to this database and will contact you directly if an opportunity arises. Thank you for your interest in the Returning and Community Scholars Program.

Contact Information

First Name: *

Last Name: *

Mailing Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Email: *

UM Affiliation: *

UM Alumnus/Alumnae

UM Friend

May we include you in our online list of Returning & Community Scholars? *

Yes

Expertise

Employer:

Job Title:

Business website (if applicable):

List the institution, major, degree, and year for each degree. *

Briefly describe your area of expertise that you would be willing to share with UM students. *

Other information:

Department/Course Preference (if applicable):

Department:

Faculty:

Course:

Please describe your availability (day/evening, times, days, semester). *

I am available: *

In person

By video-conference

CV/Resume

Please upload a current CV or resume. *

File size upload maximum is 16MB. File types allowed: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif, psd, kmz

* indicates a required field