registration-form-coil-ve-for-lecturers-series

Your personal information

What is your first name? *

What is your last name? *

What is your email address? *

What is the name of your institution? *

What is your job title / role? *

Availability
Are you able to attend all five online sessions of the COIL VE for lecturers series? *

Yes

Initial COIL VE Idea 
Do you already have an idea for integrating a COIL VE into your course? *

Yes

Partner Status

Have you already identified a partner for your COIL VE?  *

Yes

Implementation Timeline

Do you plan to implement your COIL VE during this academic year or the next?  *

Yes

Motivation
Why are you interested in participating in the COIL VE programme? *

Learning objectives
What are you hoping to learn from participating in this series? *

Invoice details
Please provide any information that should be included on the invoice (e.g. name, department, cost centre or order number). *

Data use and consent
By registering, you agree that your information will be shared with the organisers and facilitators solely for the purpose of participant selection and programme administration. *

I understand and agree

This consent is optional and can be withdrawn at any time via iahho@nuffic.nl.

After you submit the form, you will receive a copy by email. Please retain this email for your own reference.

We will use your personal data exclusively for the purpose for which you have provided it. For more information about data collection, please check our privacy policy.

* = Input is required