SEED Application SEED 2024-2025 Application Please complete this form to register for the 2024-2025 SEED program. Name * Required Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last EmailApplicant email Work/Desk PhoneMobile Phone NumberIf you are ok receiving calls or text from SEED leadership, please share your mobile number.Department/College Title/Position Choose a campus locationPlease choose your classification. UAMS Main Campus UAMS NWA Campus Choose one of the following:Please choose your classification. Faculty Staff/Administrators Student Choose one cohort preference below. Keep in mind that Cohorts will meet in monthly sessions starting in October 2024 and continuing through May 2025. Attendance is important because the sessions are designed to build upon each other. Please note there are two options for Wednesday 3-5, one option is virtual and other is in person. We will have only one session on Wednesday 3-5. We will not have two sessions on Wednesday. It is yet to be determined if that session will be in person or virtual. It will depend on respondents’ choices if it will be in person or virtual. There are 3 session options for faculty and staff and 1 for students. All cohorts will cover the same Seed curriculum but may have different facilitators. While not guaranteed, we will attempt to accommodate your requested session times and dates. * RequiredPlease choose your desired day and time: 2nd Tuesday 3-5pm Faculty/Staff (Virtual) 2nd Tuesday 5:15-6:30pm Faculty/Staff (virtual and Abbreviated) 2nd Wednesday 3-5pm Faculty/Staff LR Campus only (in-person) 2nd Wednesday 3-5pm Faculty/Staff (Virtual) 2nd Monday 12-1pm Oct-March Student Only (virtual) Continuing Education Credits * RequiredWill you need CE credit? Yes No Direct Supervisor/ Manager SEED is a time commitment of minimum 24 hours over a 9-month window. Supervisor/Manager EmailPlease provide the email of your direct supervisor, Please share with us why you are interested in SEED
