IPE Opportunity Interest Form

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

Email *

Record my email address with my response

Name: *

Which school is your primary academic unit? *

Please tell us briefly about your idea for an IPE offering (incl. description and which schools and students you hope will be involved): *

What is the current state of development for this offering?

It is just an idea.

I have taken significant steps towards planning this new offering.

This was offered previously to a single discipline.

This was offered previously to multiple disciplines.

None of the above.

Clear selection

Which term and year do you plan to offer course/activity?

How would you describe your experience teaching IPE learners:

I am new to IPE, but I am interested in learning more.

I have some experience teaching IPE learners.

I have significant experience teaching IPE learners.

None of the above

Clear selection

What do you need next to move this idea forward?

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Michigan.

Does this form look suspicious? Report