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OFFICE OF DIVERSITY AND INCLUSION

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Professional Development Program Application

 
Expectations of participants:
  • Engage with your assigned professional mentor
  • Attend professional development programs and trainings (four total)
  • Meet once a month with the Assistant Director
  • Maintain a minimum 2.50 GPA
Learning Outcomes

This list was adapted from Wichita State University's Career Development Center - 'Are You Career Ready?' Worksheet.

  • Career management
  • Professionalism/Work Ethic
  • Leadership
  • Oral/Written Communication Skills
  • Teamwork/Collaboration
  • Critical Thinking/Problem Solving
  • Tech Savvy

Registration Information

Admit Term:
2017-2018

First Name:

Last Name:

Gender:

Pronoun (her, him, hir, zir, etc.):

myWSU ID:

Date of Birth:
MM-DD-YYYY

Mailing Address:

City:

State:

Zip Code:

Do you live:
On-campus
Off-campus
Home with Family

If you live on-campus, which residence hall do you reside in?

Mailbox #:

Phone:
(XXX) XXX-XXXX

Email:

WSU Email:

Classification:
Sophomore (30-59)
Junior (60-89)

Are you a transfer student? Yes No

Transfer Institution:

Major:

Minor:

Briefly answer the following questions below:

Career Interest:

Personality: (Mark all that apply)
Shy
Outgoing
Reserved
Aggressive
Talkative

Are you a U.S. citizen/permanent resident? Yes No

If no, what country are you from?

Are you Hispanic or Latino? Yes No

Race:
Asian
Black/African-American
American Indian/Alaskan Native
Native Hawaiian/Pacific Islander
White/Caucasian
Other

Are you a first generation college student? Yes No

What academic areas are challenging for you?

What expectations and/or preferences do you have for your professional mentor?

Please list your special interests/hobbies:

What clubs/organizations are you already in at Wichita State and/or the community?

What are some of your weaknesses of being career ready?

List any internships you are currently in or have partaken:

How did you hear about Ready 2 Work? (Mark all that apply)
 

Mailing ODI Website Email
Orientation Word of Mouth Informational Table
Facebook Twitter Instagram
High School Counselor Other

 


Release of Information

I hereby waive protections provided by the Family Education Rights and Privacy Act of 1974 and authorize WSU faculty and administrators to share my education records and/or provide information regarding my education records and/or academic performance at WSU with a delegate in the Office of Diversity and Inclusion, may review my academic status/progress at WSU for the purpose of assisting me in achieving academic success.

I understand that by checking "accept" and providing a digital signature below, the Office of Diversity and Inclusion, with my consent and authorization, will periodically review my education records and follow-up with me to discuss my academic progress/performance at WSU. This waiver shall remain in effect until revoked or withdrawn by me in writing.

By checking "accept" and digitally signing my full name, I have acknowledged and certified that I have read the "Release of Information" and I am giving consent and authorization for the Office of Diversity and Inclusion to periodically review my education records.
Accept

Digitally sign your name below:

Notice of Nondiscrimination

Please review policy 3.02 / Notice of Nondiscrimination in Wichita State University's Policy and Procedures manual.