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Learning Community Interest Form

Participants for Learning Communities are selected from those submitting interests forms. Participation is open to all Oakland University faculty (full and part-time), staff and graduate students. Selection is made by the facilitator of the LC you expressed interest in. Selection is based upon the following criteria: level of interest in the program, need, openness to new ideas and potential for contributions to the program. Please keep these criteria in mind as you complete the interest form. Participants will be chosen to create a diverse group representing a variety of disciplines, experiences, and needs.
  
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First Name
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Last Name
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Academic Rank
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Department
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Telephone Number
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School or College
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E-Mail
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Select the LC you are interested in:



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Briefly describe your reasons for wanting to participate in this program.
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What do you think you can contribute to the program? (Note: Learners new to the topic are welcome)
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Please indicate anything else you wish to share regarding your possible involvement in this program.
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If you are selected for a Learning Community, do you agree to participate fully in the program's activities?

*Security Code:
*Once you start completing this form your information will not be saved until you submit.  Once submitted you will not be able to return to edit your submission.