AIDE Roadmap Request to Participate
Completing this form will initiate the process for confirming your institution's participation in the AIDE Roadmap. Once your form has been submitted, a Diversity Abroad staff member will be in touch with you to provide access to the AIDE Roadmap & a technical guide to completing the online assessment. Should you have questions along the way, please feel free to contact us at members@diversitynetwork.org.
Institutional Contact Information
Please include the appropriate contact information for a primary AIDE Roadmap Liaison, a secondary contact if applicable, and Institutional Administration contact.
Institution Name *
Your answer
Primary Point of Contact's First and Last Name *
This person will receive any correspondence from Diversity Abroad related to the institution's participation in the AIDE Roadmap.
Your answer
Primary Point of Contact's Title *
Your answer
Primary Point of Contact's Email Address *
Your answer
Secondary Point of Contact's First and Last Name
You may request to have a second point of contact included on correspondence related to the institution's participation in the AIDE Roadmap.
Your answer
Secondary Point of Contact's Title
Your answer
Secondary Point of Contact's Email Address
Your answer
Institutional Administration Contact First and Last Name *
Please provide the name and contact information for one executive-level administrator (e.g., president, chancellor, vice president, vice chancellor, or provost) for Diversity Abroad to copy on the registration confirmation e-mail. Copying an administrator on the registration e-mail helps ensure that each institution’s leadership is aware of the institution's participation in the AIDE Roadmap. This individual will also receive a copy of the institution's report when available.
Your answer
Institutional Administration Contact Title *
Your answer
Institutional Administration Contact Email *
Your answer
AIDE Roadmap Participation
Please indicate your interest in completing the AIDE Roadmap *
Comprehensive access to the AID Roadmap is available to member institutions
Submit
Never submit passwords through Google Forms.
This form was created inside of Diversity Abroad.