IBAVI COIL Interest Form
If you are interested in developing, teaching, or participating in an IBAVI COIL experience, please answer the brief survey below.  Although we will attempt to support a wide range of VE / COIL activities, our ability to do so will depend upon available resources and existing commitments.  
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Email *
Please provide your first and last name in the space provided along with any relevant professional title(s) and/or academic degree(s).  *
What is the name of your university, institution, or organization?  Please provide a website if available.  *
Are you a member (e.g., faculty, student, staff, administrator) of an IBAVI Global university (please see http://www.ibavi.org/content/ibavi-global.php for a list of our university partners)?   *
Required
If you are not a member of an IBAVI Global university, but are a participant in an IBAVI initiative (e.g., research, education, service, grant, etc.), please provide a brief description of that activity below (otherwise, please leave this question blank).    
In the space provided, please provide any information about what you are seeking in terms of an IBAVI COIL experience (e.g., the nature of the VE / COIL experience you want to develop; questions you may have; how we might help, etc.).   *
Is there anything else you would like to tell us about yourself?  If you have a biographical link, please also include that URL as part of your below response.    
If you have any other questions, or need additional information, please indicate below.  We will respond to your request as soon as possible (please allow time as we may be handling multiple requests).  

Thank you for your interest in IBAVI COIL!
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