Integrate > For Team Members > Team Meetings Index > Nov. 9-11, 2014 New Module/Course Team Meeting > Participant Checklist > Contract and Course Information Form

Individual Contract and Course Information


Completion of this form initiates establishment of contracts for stipend payment, communicates your timeline with the project, and collects demographic information for grant reporting purposes.

Please only fill this form out if you are attending a face-to-face meeting for new authors.

For faster entry, sign into your SERC account (this will autofill all known fields).

You must hit the 'Submit' button to upload your information. Please note that you will not be able to return to this form to edit your information. The form must be finished completely and submitted in order to receive your contract.


InTeGrate Curriculum teamPlease select your module team from one of the drop down menus below.






Contact Information for Contract

















Course information (in which you are testing your materials)








Course Level




Demographics






Race (select one or more):






Disability status (select one or more):













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