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FacultyTo all faculty members,

Please fill out the form below regarding Diversity at University Hospitals and Case Western Reserve University.

All answers are confidential.
Faculty Member,
Please enter the first four letters of the last name and the first four of the department you work.
eg. Nicola Ziady | Marketing Department :: "ziadmark"*

1. Year of Hire*

2. Age*

3. Gender*

4. Country of Origin*

5. Race/Ethnicity*

6. Which position best describes your career goals. Check all boxes that apply.
If Other please specify

7. What is your current academic rank?*

8. What is your current track*

9. If you had offers from other institutions what made you finally decide on UH/Case Medical Center?

10. When you signed your employment contract with your department did you choose to pursue the tenure track?*

11. If yes, were you aware of the requirements for tenure within your department?

12. Do you have a mentor?

13. Consider how the relationship with your principal mentor originated; was your principal mentor:*

14. Before acceptance into this program did you have any knowledge about UH/Case Medical Center in terms of the institution’s attitude with regard to African—American, Latinos, Pacific Islanders, Hispanic, or Asian [underrepresented minorities]?*

15. If yes, did that play a role in your decision to come to UH/Case Medical Center?*

16. What is the single most important change that could be made in the UH/Case Medical Center to improve your professional work development and assist you with achieving your career goals?*

17. Have you ever been treated unfairly at UH because of your:

a. age*
b. Sex*
c. Ethnicity/Race*

18. Now that you are at UH/Case Medical Center, have you formed an opinion regarding underrepresented minorities, based on your experience here? *

19. If you have formulated an opinion of the treatment of African—American, Latino, Pacific Islander, Hispanic, and Asian [underrepresented minorities]; what is that opinion.
Submit
*Required