DI-AAA/FCS ADA Fellows Program
Deadline to apply - Friday, August 21
Please select your Divisional Representation
*
DI-FCS
DI-BBS
Are you interested in becoming a mentor?
*
Yes but do not have a fellow to nominate
Yes and I have a fellow to nominate
No but I have a Fellow to Nominate
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Mentor Name
First Name
Last Name
Mentor Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mentor Email
example@example.com
Mentor Title
Mentor Institution
Conference
How long have you served as an AD?
Please Select
0 - 2 years
3 - 5 years
5 or more years
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Fellow Name
First Name
Last Name
Fellow Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Fellow Email
example@example.com
Fellow Title
Fellow Institution
Fellow Conference
Gender
Male
Female
Non-binary
Prefer Not to Answer
Prefer to Self-Describe
Ethnicity
American Indian or Alaska Native
Asian
Black or African-American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Multiracial
Prefer Not to Answer
Prefer to Self-Describe
Has the fellow interviewed for athletics director positions?
Yes
No
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I understand that by expressing interest in the DI-AAA/FCS ADA Fellows Program and completing this form, there is a level of commitment expected of me. I will ensure that I dedicate an appropriate amount of time to my mentee throughout the entirety of this program.
*
Yes
No
Submit
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