Team Leader Registration This form is to create a project and register as its Team Leader. If you are not a faculty member, an email will be sent to your faculty mentor or supervisor for permission to participate in this program. Formal Name(Required) First Last Suffix Used for our records.Preferred Name(Required) First Last Suffix Name for correspondence and posting online. Email(Required) Enter Email Confirm Email Phone(Required)Only used for our records.University(Required)Department or Major(Required)University Identification Number (UIN)(Required)Only used for our records.Status(Required)OtherFacultyStaffPostdoctoral ScholarDoctoral StudentProfessional StudentMasters StudentUndergraduate StudentFaculty Mentor or Supervisor Name(Required) First Last Suffix Faculty Mentor or Supervisor Email(Required)If you are not a faculty member, an email will be sent to your faculty mentor or supervisor with this project information to confirm permission to participate in the leadership program.Type of Project(Required)ResearchProposal DevelopmentAcademic AdministrationLeadership Program(Required)OtherGenetics and Genomics Research Leadership ProgramHazards Research Leadership ProgramHealth and Nature Research Leadership ProgramNeuroscience Research Leadership ProgramProgram Evaluation Research Leadership ProgramRace and Ethnic Studies Research Leadership ProgramServingness Research Leadership ProgramSTEM Education Research Leadership ProgramCommunity and Economic Resilience Research LeadershipEmerging Technologies Research LeadershipHealth and Quality of Life Research LeadershipNational Security Research LeadershipSpace Exploration Research LeadershipSustainability and Environment Research LeadershipProposal Development: Private Sector Engagement LeadershipAcademic Administration: Strategic Research Initiatives LeadershipPlease select the leadership program you want to join. Project Title(Required)Project Description(Required)(2,000 Characters)Who can be a team member?(Required) Faculty Staff/Postdoctoral Scholars Graduate Students Students Masters Students Undergraduate Students (Check all that apply)Number of Team Members(Required)345678This is just the initial planned number of team members for planning purposes. You can ultimately decide to have from 3-8 team members besides yourself, although you may want to consider leading a second project team if you plan to have more than 5.Initial Team Status(Required)AvailableFullWhen registering, most team members have “available” openings on their team. You may already have selected 3 or more team members prior to registering, so that your project will be posted as “full”Team Needs(Required)Describe any skills, perspectives, experiences, motivations of one or more team members that would be an asset to your team. Also note any particular requirements necessary to participate as a team member. Special Opportunities(Required)Describe potential benefits to recruit potential team members. CAPTCHA