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CSUSM IPE Interest Form

Please let us know if you're interested in collaborating with others at CSUSM for Interprofessional Education activities.

Please provide the following information:

First Name:

Last Name:

Department:

Email:

Phone Number:

Units (departments/schools) you hope to collaborate with:

Course(s) IPE activity would be implemented in:

Type of activity (e.g., case study, workshop, educational presentation):

Any additional info/details about the proposed activity that you would like to add: