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Unless fields in this survey explicitly request identifying information from respondents, your participation will be anonymous.
Required = Response is required
Required First Name
(Maximum characters allowed: 10,000)
Last Name
(Maximum characters allowed: 10,000)
Required Email Address:
(Maximum characters allowed: 10,000)
Required Street Address
(Maximum characters allowed: 10,000)
ACADEMIC PREPARATION:
Required COLLEGE/UNIVERSITY
College/University Name
(Maximum characters allowed: 10,000)
Discipline/Major
(Maximum characters allowed: 10,000)
COLLEGE/UNIVERSITY
College/University Name
(Maximum characters allowed: 10,000)
Discipline/Major
(Maximum characters allowed: 10,000)
COLLEGE/UNIVERSITY
College/University Name
(Maximum characters allowed: 10,000)
Discipline/Major
(Maximum characters allowed: 10,000)
COLLEGE/UNIVERSITY
College/University Name
(Maximum characters allowed: 10,000)
Discipline/Major
(Maximum characters allowed: 10,000)
Required Degrees Earned
 
Disciplines Interested in Teaching
Required Business
 
Required Credit hours earned in this discipline:
(Maximum characters allowed: 10,000)
Required Degree Earned


COLLEGE/UNIVERSITY #2
College/University Name
(Maximum characters allowed: 10,000)
Discipline/Major
(Maximum characters allowed: 10,000)
Credit hours earned in this discipline:
(Maximum characters allowed: 10,000)
Degree Earned


COURSE(S) INTERESTED IN TEACHING
Required Course #1
Course Title & Course #
(Maximum characters allowed: 10,000)
Dates (From - To)
(Maximum characters allowed: 10,000)
Course #2
Course Title & Course #
(Maximum characters allowed: 10,000)
Dates (From - To)
(Maximum characters allowed: 10,000)
Course #3
Course Title & Course #
(Maximum characters allowed: 10,000)
Dates (From - To)
(Maximum characters allowed: 10,000)
ACCEPTABLE LOCATIONS:
ONLINE
SOUTHERN VA
CENTRAL VA
TIDEWATER
Required HOW DID YOU HEAR ABOUT AVERETT?
 
NEXT STEPS


This form will automatically submit an email to Robert Sims, Director of Faculty Services. He will contact you when he has received your information. If you have any questions, please call Robert Sims at 1-855.490.7736 Ext 31622 or email him at rsims@averett.edu.



Once this form is submitted, you will be redirected to our Faculty Resource Site on Moodle (our Course Management Resource Center). User name and Password is newfaculty to enter Moodle. Please review the information contained in the Faculty Candidates Section.


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Please contact akautzman@averett.edu if you have any questions regarding this survey.