FIPCC 2019: Faculty Facilitator Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

FIPCC 2019: Faculty Facilitator Interest Form

Sign in to Google to save your progress. Learn more

Thank you for your interest in participating as a facilitator for the Foundations of Interprofessional Communication & Collaboration (FIPCC) course for Fall 2019.

Please complete this form to the best of your abilities.

Contact Leslie Boey, 1Health Curriculum Coordinator, at fipcc@umn.edu with any questions.

FIPCC Dates are as follows (1:30-3:30 PM each session):
9/20/2019
10/4/2019
10/11/2019
10/18/2019 (online session, no facilitation)
10/25/2019
11/15/2019

Click the "NEXT" button to advance to the next page and provide your responses.

Next

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Minnesota Twin Cities. Report Abuse