| DIRECTIONS: Please fill in
items (a) through (d ), then click the SUBMIT button at
the bottom of the form. You will receive a CONFIRMATION
if your submittal was successful. Then watch for
an email from Dr. Hirschboeck during the next 24 hours
to confirm that she has received your application and to
follow up with you. |
(a)
CONTACT INFORMATION & UNIVERSITY STANDING
Name:
Email:
NOTE: Be sure you enter your
email address carefully and accurately!
This is the email Dr.
Hirschboeck will use to respond back to you personally.
Phone:
University Standing:
Expected year of graduation:
GPA:
(b)
SELECTION OF PRECEPTORSHIP TYPE
If accepted as a preceptor, you will sign up for a workshop course associated
with one of
the following types of preceptorships:
·
LASC 197a Preceptorship - a training workshop
-- starts the week of Sept 9th (3 units)
·
LASC
397a Independent Study Preceptorship - for students who have already
completed LASC 197a (1-3 units)
· HONORS
CREDIT PRECEPTORSHIP
- to earn GC-170A
honors credit . You must be enrolled in one
of the two the Honors sections of the course for this
option.
Select
the type of preceptorship that matches your situation:
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Have you ever been a preceptor in another
course at the University of Arizona?
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(c) INTERVIEW TIME SLOT
NOTE: Honors section preceptors will have an
interview at our first section meeting and do not need to sign up.
 Select
the time slot when you can meet with Dr H for your 20-30 minute
interview:
NOTE: All interviews will take place in Dr.
Hirschboeck's office in the Tree-Ring Lab:
Map & Directions
(d) BACKGROUND &
INTEREST QUESTIONS:
What is your major field of
study?
(If you are an undecided major, describe what fields, majors, or careers
you are thinking about.)
What are your thoughts/attitudes toward
science in general?
(NOTE: It is not necessary to be a science major to be a preceptor in this
course.)
Why are you interested in becoming a
preceptor?
What do you hope a
preceptorship will help you learn or accomplish?
List and describe your personality traits,
your skills, and any previous
leadership
experience that you think will help you be a good preceptor:
Finally, in the box below,
please indicate which large GC-170A
lecture section you
are enrolled in or planning to attend (Lec 001 + 002 on T TH @ 12:30
- 1:45 pm OR Lec 003 + 004 on T TH @
3:30
- 4:45 pm )
and add any
additional comments or questions that you have about being a preceptor in
GC-170A Introduction to Global Change:
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