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EKU
Eastern Kentucky University
Student Success
2025 New Faculty Symposium
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Faculty Information
First Name
I have a preferred name that's different than my first.
Preferred Name
Last Name
Do you know your EKU email address?
Do you know your EKU email address?
Yes
No
EKU Email
Alternate Email
Preferred Phone Number
Faculty Position
Faculty Appointment
Assistant Professor
Associate Professor
Professor
Visiting Professor
Clinical
Lecturer
PT Faculty
Model Lab Teacher
Other
Other Position
Were you hired with an administrative role?
Were you hired with an administrative role?
Yes
No
What administrative role will you have?
Dean
Chair
Director
Coordinator
Other
Other Administrative Role:
Will you need an EKU issued laptop computer?
Will you need an EKU issued laptop computer?
Yes
No
Which operating system (OS) do you prefer?
Please note Dell's are preferred; however, MacBooks are available.
Which operating system (OS) do you prefer?
Please note Dell's are preferred; however, MacBooks are available.
MacOS (Apple)
Windows (Dell)
Were you previously employed by EKU?
Were you previously employed by EKU?
Yes
No
When were you last employed by EKU? Please include month (or term) and year.
What position did you hold when you were last employed with EKU?
Were you offered benefits and retirement when you were a previous EKU Employee?
Were you offered benefits and retirement when you were a previous EKU Employee?
Yes
No
Not Sure
New Faculty Symposium Information
Do you have any of the following that we need to consider? (
Check all that apply
).
Do you have any of the following that we need to consider? (
Check all that apply
).
Deaf and/or Hard of Hearing
Mobility
Food Allergies/Consideration
Other (Please elaborate in the last section below)
Will you need an interpreter?
Will you need an interpreter?
Yes
No
Please share more information about your mobility that will assist us in planning accommodation considerations.
Please list any food allergies or other food-related considerations we should be aware of.
Please share any other requests, comments, or additional information you would like for us to know about your participation at this year's New Faculty Symposium.
Submit
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Eastern Kentucky University
521 Lancaster Ave.
Whitlock Building
Richmond, KY 40475
Phone: 859-622-1000
eku.edu
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