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Affiliate Faculty Survey Form
meemitt
2026-01-10T04:20:37+05:30
FHTS
Affiliate Faculty Survey Form
This survey is designed to capture your areas of interest, availability, and professional goals to support your engagement as an Affiliate Faculty member with FHTS.
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This field is for validation purposes and should be left unchanged.
Basic Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Interest Areas
Are you interested in Mentorship?
(Required)
-- please select --
Yes
No
Preferable mentoring hours/week
(Required)
Please enter a number from
1
to
50
.
Preferable time slots
(Required)
9 AM - 10 AM
10 AM - 11 AM
11 AM - 12 PM
1 PM - 2 PM
2 PM - 3 PM
3 PM - 4 PM
4 PM - 5 PM
Are you interested in Research Publication?
(Required)
-- please select --
Yes
No
Publication
(Required)
Review of Literature
Data Analysis
Preparation of Draft
Review of First Draft
Other
If other, please specify
(Required)
Are you interested in Teaching?
(Required)
-- please select --
Yes
No
Preferable teaching hours/week
(Required)
Please enter a number from
1
to
50
.
Preferable time slots
(Required)
6 PM - 7 PM
7 PM - 8 PM
Are you interested in Research Grant Writing?
(Required)
-- please select --
Yes
No
Are you interested in Community Development?
(Required)
-- please select --
Yes
No
Are you interested in Training Programs Module Preparation?
(Required)
-- please select --
Yes
No
Please specify if interested in any other areas
List three goals you would like to accomplish by the end of one year from your date of joining as an affiliate faculty with FHTS
(Required)
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