Please enable JavaScript in your browser to complete this form.Name of the university aiming to establish CIB student chapter *Name of the lead department within the university (if any)Information of the person completing the form Name *FirstLastEmail *Prospective president of the student chapter Name *FirstLastEmail *Prospective academic advisor (i.e., a senior fellow) of the student chapter Name *FirstLastEmail *Other key persons in the proposed student chapter NameFirstLastRoleDescription of objectives and plans(e.g., activities, collaborations) to realize after establishing your studentGuidelines *I confirm that I have read and agreed with the guidelines for establishing CIB student chapterSubmit
