Chair Approval Form

A faculty member in your department is applying to be a Mentee in the Rush Research Mentoring Program. The Office of Mentoring Programs within Faculty Affairs is requesting the Chair's approval to move forward with the vetting process.

Question Title

* 1. Name and title of the Chair:

Full Name:

Position Title:

Question Title

* 2. Name and title of the applicant:

Full Name:

Position Title:

Question Title

* 3. I approve the applicant listed above to be granted a minimum of 20% protected research time to serve as a member of the Rush Research Mentoring Program (RRMP) and I approve their enrollment to participate in the RRMP.

Yes, this applicant has my approval and support.

No, this applicant does not qualify for this program.