GSA Fellowship

We appreciate your interest in the GSA Fellowship.

Name

First Name

Last Name

Organization/Company/University

Email Address

Is Your Current Position as a Faculty Member?

How many years? What discipline?

Is Your Current Position as a Trainee?

What year? What discipline?

Are You Interested in Joining One of the Initiatives of the GSA?

What Initiative Are You Interested in Joining?

What Is Your Motivation for Joining the GSA Fellowship?

Please write your response in <450 words and include the following: 1. Describe what you hope to achieve/contribute as a Representative in your chosen section 2. Describe how you may be uniquely qualified to be a Representative in your chosen section Thanks!

Imrana Malik
GSA Fellowship Chair