{"id":1639,"date":"2021-08-12T10:12:19","date_gmt":"2021-08-12T14:12:19","guid":{"rendered":"https:\/\/www.bu.edu\/ceid\/?page_id=1639"},"modified":"2025-07-22T16:18:00","modified_gmt":"2025-07-22T20:18:00","slug":"ceid-faculty-affiliate-intake-form","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/ceid\/about-the-center\/ceid-faculty-affiliate-intake-form\/","title":{"rendered":"CEID Faculty Intake Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/ceid\/wp-json\/wp\/v2\/pages\/1639' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_5_13\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_13\"><label class='gfield_label gform-field-label' for='input_5_13' >For which type of faculty are you applying?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_13'>If you have not done so already, please contact Dr. Nahid Bhadelia about which type of faculty position you should apply for.<\/div><div class='ginput_container ginput_container_select'><select name='input_13' id='input_5_13' class='medium gfield_select'  aria-describedby=\"gfield_description_5_13\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='-' >-<\/option><option value='Core Faculty (Boston University faculty)' >Core Faculty (Boston University faculty)<\/option><option value='Affiliate Faculty (external faculty)' >Affiliate Faculty (external faculty)<\/option><\/select><\/div><\/li><li id=\"field_5_1\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_1'>\n                            \n                            <span id='input_5_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_5_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_5_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_2\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_2\"><label class='gfield_label gform-field-label' for='input_5_2' >Your BU College\/School Affiliation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_5_2' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='-' >-<\/option><option value='School of Medicine' >School of Medicine<\/option><option value='School of Public Health' >School of Public Health<\/option><option value='College of Engineering' >College of Engineering<\/option><option value='College of Communication' >College of Communication<\/option><option value='School of Law' >School of Law<\/option><option value='College of Health and Rehabilitation Sciences: Sargent College' >College of Health and Rehabilitation Sciences: Sargent College<\/option><option value='Henry M. Goldman School of Dental Medicine' >Henry M. Goldman School of Dental Medicine<\/option><option value='College of Arts and Sciences' >College of Arts and Sciences<\/option><option value='College of Fine Arts' >College of Fine Arts<\/option><option value='College of General Studies' >College of General Studies<\/option><option value='Frederick S. Pardee School of Global Studies' >Frederick S. Pardee School of Global Studies<\/option><option value='Metropolitan College' >Metropolitan College<\/option><option value='Questrom School of Business' >Questrom School of Business<\/option><option value='School of Hospitality Administration' >School of Hospitality Administration<\/option><option value='School of Social Work' >School of Social Work<\/option><option value='School of Theology' >School of Theology<\/option><option value='Wheelock College of Education &amp; Human Development' >Wheelock College of Education &amp; Human Development<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_5_3\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_3\"><label class='gfield_label gform-field-label' for='input_5_3' >Other Affiliation<\/label><div class='gfield_description' id='gfield_description_5_3'>If you chose \"Other\" in the above drop down, please type your affiliation with your external institution. <\/div><div class='ginput_container ginput_container_text'><input name='input_3' id='input_5_3' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_3\"    aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_4\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_4\"><label class='gfield_label gform-field-label' for='input_5_4' >Your Position Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_5\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_5\"><label class='gfield_label gform-field-label' for='input_5_5' >Your Preferred E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_5_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_6\"  class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_6\"><label class='gfield_label gform-field-label' for='input_5_6' >Your Resume\/CV<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_6' id='input_5_6' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_6\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_6'>Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_6'><\/div><\/div><\/li><li id=\"field_5_7\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_7\"><label class='gfield_label gform-field-label' for='input_5_7' >Application Pitch<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_7'>In 500 word or less, please describe your reason(s) for applying to be a CEID Affiliate Faculty member. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_5_7' class='textarea medium'  aria-describedby=\"gfield_description_5_7\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_9\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_5_9\"><label class='gfield_label gform-field-label'  >Have you collaborated with a CEID Faculty member in the past?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_9'>You may find a list of CEID Faculty here: https:\/\/www.bu.edu\/ceid\/about-the-center\/team\/ <\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_9'>\n\t\t\t<li class='gchoice gchoice_5_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Yes'  id='choice_5_9_0'    \/>\n\t\t\t\t<label for='choice_5_9_0' id='label_5_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='No'  id='choice_5_9_1'    \/>\n\t\t\t\t<label for='choice_5_9_1' id='label_5_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_10\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_10\"><label class='gfield_label gform-field-label' for='input_5_10' >If you responded &quot;Yes&quot; to collaborating with a CEID Faculty member, please indicate with whom you&#039;ve collaborated.<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_8\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_8\"><label class='gfield_label gform-field-label' for='input_5_8' >How did you hear about this CEID Affiliate Faculty opportunity?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_14\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section 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