Co-operative Research Database

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* 1. Title:

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* 2. First Name:

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* 3. Surname:

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* 4. Institution/organisation:

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* 5. Job title:

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* 6. Previous/current/future areas of research and interest:

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* 7. Type of research:

Academic

Policy

Other (ie. market, survey etc)

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* 8. Why are you interested in joining this co-operative research community of practice?

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* 9. Have you published any work relevant to co-operatives or co-operative education? Please list any publications below if you wish:

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* 10. How do you share your research?

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* 11. Do you collaborate with other national/international co-operative researchers? If so, with whom and what on?

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* 12. Are you interested in looking for partners for funding bids?

Yes

No

Please give more details if necessary:

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* 13. Does any co-operative teaching and learning take place within your home institution?

No

Yes (Please specify):

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* 14. Are you happy for others to contact you? (Such as researchers, other academics and practitioners, members of the public etc)

Yes

No

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* 15. Contact information:

Name:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number: