PROFILE REQUEST FORM

First Middle Last

(example: Ph.D.)

If multiple titles, separate with a comma

Please provide the name of the primary department assigned

Building name and office number. For example, Neville 123

Listed in reverse chronological order (terminal degree listed first)

List your degree, major, or program and then institution.

Format and style example:

Ph.D., Chemistry, University of North Carolina, Chapel Hill

List general teaching areas rather than specific courses

Word Count: 200 Words

(hobbies, favorite books, quotes, interests, family info)

if applicable - list format

if applicable - list format

if applicable - list format

if applicable - list format

if applicable - list format

Headshot - You may upload the photo using the online submission form if you already have a professional headshot. You should provide an original, uncropped photo so we can resize it as appropriate for the web. Please provide images in color, not black and white. Headshot photos should be taken and provided horizontally in orientation versus vertical.


If you need a headshot—or would like a new headshot taken by one of our staff members—let us know, and we will be happy to schedule it. It won’t take more than 10 minutes of your time.


CV - Optional: provided as an attachment on the page

Drag and drop files here or

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