CSGrad4US Reviewer Application Form

CSGrad4US Reviewer Application

Please enter your details below if you are interested in serving as a reviewer for the CSGrad4US Fellowship Program.
First Name*
Last Name*
Email Address*

Relevant Background Information
Institution:*
Please indicate the highest degree offered by your institution:*
What is your primary research area?*
If you selected "other", please specify:
Please indicate your title:*
If you selected "other", please specify:
If you are faculty, please specify your track.
Personal Website URL:
Which of the following reflect your experience with the graduate admissions process? (select all that apply)*

Reviewing applicationsInterviewing applicantsRunning graduate visit days in your departmentServing as chair of admissionsInvolved in grad admission process revisionVisiting institutions to recruit graduate studentsInvolved in annual review of graduate students
How many undergrads have you mentored in the graduate application process over the last 5 years?*
How many undergrads have you mentored in research over the last 5 years?*
Which of the following student (grad or undergrad) mentoring workshops have you participated in as an organizer or speaker in the last 5 years?*

TAPIAGrace Hopper Student-focused Panels or WorkshopsCRA-WP Grad Cohort for WomenCRA-WP Grad Cohort for IDEALSDiscipline Specific WorkshopsREU Site MentorCRA-WP DREU/CREU MentorStudent Mentoring Workshops associated with conferencesInstitution-specific Student Mentoring WorkshopsOther
If you selected "other", please specify:
Please share any other experience you bring to serving as a coach, mentor, or area advisor:*
Why are you interested in getting involved in the CSGrad4US Mentoring Program?*
If you are faculty, which type of department do you work in?
If you selected "other", please specify:
Should be Empty:

CSGrad4US Reviewer Application

Relevant Background Information