Match Request

The Women, Trans, & Non-Binary Faculty Mentoring Program matches tenure-track assistant professors with tenured colleagues who share similar interests but remain at arm’s length from the promotion and tenure process. Faculty appointed with tenure may participate in a year-long match to build connections at UW-Madison.

Date*
MM slash DD slash YYYY
Name*
Last Name(s), First Name(s)
Pronouns
What pronouns would you like people to use when addressing or referring to you?
Title*
Department(s)*
Email*
Website
Mentor Information
What special experience, knowledge, or skills are you looking for in a mentor?*
Professional Experiences & Interests
Divisional Affiliation*
- Arts & Humanities
- Biological Sciences
- Physical Sciences
- Social Sciences
Academic Expertise*
Research interest(s) & methodology; teaching responsibilities; service role(s)
Personal Experiences & Interests
Life Context
- Member of historically underrepresented group
- LGBTQ+
- Individual with a disability
Family Responsibilities
Significant child care, dependent care, elder care responsibilities; name(s) & age(s) of child(ren); single parent?
Personal Interests
In my spare time I enjoy:
Email
This field is for validation purposes and should be left unchanged.

Mentor Information

Professional Experiences & Interests

Personal Experiences & Interests