Directory of Recipients Form

By submitting this form, you give CDIP permission to include the information you provide below in the Directory of Recipients.

The Directory of Recipients is distributed to the following CSU campus officials to be used as a recruitment tool: presidents, chief academic officers, EEO officers, deans/associate vice-presidents of faculty affairs, school deans and academic senate chairs, and CDIP coordinators.

The deadline for submitting the Directory of Recipients Form has passed.

* Required Fields

Enter the information that you would like printed in the Directory
* First Name
* Last Name
Contact Information
Home Phone
* Current Email Address

CSU Faculty Mentor Information
Faculty Name
Faculty Department
Faculty Campus
Program Information
Doctoral Institution
Expected Year of Degree
Year of Degree
Post-Doc Information
Post Doc Institution
Post Doc Appointment Date
Scholarly Research
Research Topic
Research Description
Research Accomplishments
Research Awards