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2. First Name: (Required.)

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3. Surname: (Required.)

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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: (Required.)

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7. Type of research: (Required.)

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

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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?

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

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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) (Required.)

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15. Contact information:

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