Delta Internship seminar Fall 2025 Please complete the following information and submit the form. You will then receive a confirmation email. If you have any questions about an offering or the registration process, please e-mail info@delta.wisc.edu Contact information First Name * Last Name * Email Address (@wisc.edu address, please) * If it differs from your first name provided, what do you prefer to be called (e.g. Taylor prefers to be called TJ, Ximing prefers Ming....) Prefer to be called NetID (example: bbadger1) * Campus information Campus role * - select Campus role - Faculty/Staff Graduate Student Other Post-doctoral Scholar Type in a few letters of your primary department and select from the list. If your department is not found, select "Other (mine not on this list)". Primary Major/Department/Unit * Secondary Department/Major/Unit If you selected 'other' in the Department, please indicate your department/major/program here. Dept/major/program not on the list Graduate students must complete the following: Please provide your 10-digit student ID number Year in program - select Year in program - First Second Third Fourth Fifth or higher Event-specific questions What are your goals and what question do you hope to have answered from this event? Goals and questions Is there anything it would be helpful for the facilitators to know to best support your learning? Support your learning How did you hear about this offering? Email from Delta ProgramGraduate or program coordinatorFacultyA peerDelta's websiteDiscover PDGradConnections WeeklyGraduate School Events CalendarSocial mediaUW-Madison Events CalendarOther If you are teaching during the semester of this course or event (at any point), what is your role? - select If you are teaching during the semester of this course or event (at any point), what is your role? - Teaching assistant (TA) or grader Instructor of record Guest instructor Other/not sure yet Not teaching this semester Register
