INDV 460/Summer Internship: Faculty Mentor Availability Form FACULTY MENTOR INFORMATION Faculty Mentor Name:* Academic Department/School:* Office Location:* Phone:* Email address:* Preferred method of communication:* SUMMER COURSES Will you be teaching any courses this summer? If yes, please provide information on each course below.* No Response Yes No COURSE 1 meeting time: COURSE 1 prefix and number: Please select the COURSE 1 type/duration: No Response 5-week, first session 5-week, second session 8-week course Online only Other If you selected "other," please explain: COURSE 2 meeting time: COURSE 2 prefix and number: Please select the COURSE 2 type/duration: No Response 5-week, first session 5-week, second session 8-week course Online only Other If you selected "other," please explain: COURSE 3 meeting time: COURSE 3 prefix and number: Please select the COURSE 3 type/duration: No Response 5-week, first session 5-week, second session 8-week course Online only Other If you selected "other," please explain: OTHER SUMMER OBLIGATIONS Please check all that apply: Joseph Baldwin Academy First Session Joseph Baldwin Academy Second Session Department Chair Research mentor for students outside the McNair Program Involved in on-campus programs Other If you selected "other," please explain: SUMMER TRAVEL Do you expect to be absent from Kirksville for more than four consecutive days or in weekly intervals throughout the internship period (May 14-July 13, 2018)?* No Response Yes No If yes, please give the reason for your absence and the dates you will be away from Kirksville: Do not fill in the following field Google Recaptcha response