L&E Intake
Faculty Consulting
[ { "type": "paragraph", "subtype": "p", "label": "You will be asked to upload contracts at a later time. Please complete this form first." }, { "type": "text", "required": true, "label": "Your Name", "className": "form-control", "name": "client_name", "subtype": "text" }, { "type": "text", "subtype": "email", "required": true, "label": "Your Email Address", "className": "form-control", "name": "client_email" }, { "type": "select", "required": true, "label": "Which college at UW-Madison are you part of?", "placeholder": "Please Choose One...", "className": "form-control", "name": "client_msn_college", "values": [ { "label": "Agriculture & Life Sciences", "value": "CALS", "selected": true }, { "label": "Business", "value": "BUS" }, { "label": "Education", "value": "EDU" }, { "label": "Engineering", "value": "ENG" }, { "label": "Human Ecology", "value": "SOHE" }, { "label": "Law", "value": "LAW" }, { "label": "Letters & Sciences", "value": "LNS" }, { "label": "Medicine & Public Health", "value": "MED" }, { "label": "Nursing", "value": "NURS" }, { "label": "Pharmacy", "value": "PHARM" }, { "label": "UW Hospital", "value": "HOSP" }, { "label": "Veterinary Medicine", "value": "VET" }, { "label": "Other", "value": "OTHER" } ] }, { "type": "select", "required": true, "label": "What is your job classification?", "placeholder": "Please Choose One...", "className": "form-control", "name": "client_uw_affiliation", "values": [ { "label": "Faculty", "value": "FACULTY", "selected": true }, { "label": "Staff with a Faculty Appointment", "value": "FACSTAFF" }, { "label": "Research Assistant", "value": "RA" }, { "label": "Graduate Assistant", "value": "GA" }, { "label": "Post-Doc", "value": "POST" }, { "label": "Graduate Student", "value": "GRADST" }, { "label": "Undergraduate Student", "value": "UGRADST" }, { "label": "University Staff", "value": "USTAFF" }, { "label": "Other Staff", "value": "OSTAFF" } ] }, { "type": "radio-group", "required": true, "label": "When will the activities in the proposed contract begin?", "name": "client_fac_contract_start", "values": [ { "label": "0 to 2 weeks", "value": "0" }, { "label": "2 to 4 weeks", "value": "1" }, { "label": "1 to 3 months", "value": "2" }, { "label": "3 to 6 months", "value": "3" }, { "label": "Later", "value": "4" } ] }, { "type": "textarea", "required": true, "label": "Briefly describe what you will be doing under this contract.", "placeholder": "Often Faculty are engaged to give talks assist with research, sit on scientific advisory boards or panels, or even be a technical co-founder of a company.", "className": "form-control", "name": "client_fac_contract_description", "subtype": "textarea", "rows": "5" } ]