CGH Faculty Application Form Faculty Application Form Copy link Please fill out the information below. Name(Required) First Middle Last Email(Required) UIC School/Department/Institute(Required) UIN(Required) Human Resources Contact(Required) Position and Title(Required) Campus Site(Required) Chicago Rockford Peoria Springfield Degree(s)(Required)Briefly describe the nature of your global health work and interests at UIC(Required) (e.g., research, education, etc)Have you worked with CGH in the past? If so, in what capacity?(Required)Are you interested in being a mentor of a student, trainee, fellow or junior faculty?(Required) Yes No Are you interested in participating in CGH Monthly Network Meeting Lectures as a speaker?(Required) Yes No Are you interested in conducting research?(Required) Yes No Upload Your CV(Required)Accepted file types: pdf, doc, docx, Max. file size: 15 MB.PDF or DOCX documents onlyPhoneThis field is for validation purposes and should be left unchanged.