Application for Affiliate

OIBR Affiliates represents a wide range of faculty members and research staff from departments across campus. Anyone with a Behavioral/Social Science component to their research who wishes to be included in communications about upcoming events and research related topics may request to be an Affiliate of OIBR.

Apply to Affiliate

First Name

Last Name

Position/Title Position/Title

Unit (Please list your Department or School affiliation)

Address

Phone

Affiliation Affiliation

Department/School Profile Web Page Link

Lab/Personal Website Link

Research Interests (Please list 4-5 key words)

Research Interest Categories (select up to 5 categories)

How did you hear about OIBR?

Why would you like to Affiliate with us?