Indiana Conflict Resolution Institute
Indiana University Faculty Survey Interests Form

This form should be filled out by Indiana University faculty members who have an interest in Alternative Dispute Resolution.  The information submitted will be sent to the Indiana Conflict Resolution Institute.  The information will then be used to determine what ADR resources are available throughout the Indiana University campuses, and to allow internet users to access this information via our searchable database.  We will not post your information unless you give us permission to do so by checking the appropriate box at the bottom of this form.     

          
Last Name:  
First Name: 
Middle Initial: 
Department:
Campus: 
Phone:
Fax:  
Email Address:
Web Address:

Please check the boxes that represent your areas of research, teaching or service interest.

  Research Teach
Undergrad

Teach Graduate

Service/
Practice
Alternative Dispute Resolution (the broad field of  processes such as negotiation, mediation, and arbitration)
Negotiation (two or more parties reaching an agreement without the aid of a neutral party)
Meditation (the use of a neutral party to help parties negotiate a voluntary settlement of a dispute)
Arbitration (the use of a neutral party to serve as a judge who will informally adjudicate a dispute)
Conflict Management (the institutionalization of dispute resolution practices within private or public sector organizations)

Please describe any other areas of research, teaching, or service that you are involved with:

 Please describe your specific interests in, or courses concerning, dispute resolution:


Are you interested in participating in the Indiana Conflict Resolution Institute in any of the following ways?

Participate in Research Projects Yes No
Present Research Yes No
Provide Mediation Services Yes No
Provide Arbitration Services Yes No
Teach Negotiation, Mediation, or
Arbitration Skills		 Yes No
Teach Executive Education Courses Yes No
Attend Brown Bag Lunches Yes No
Support Student Internships Yes No
Participate in Steering Committee Yes No

Please describe any other ways you are interested in participating in the Indiana Conflict Resolution Institute:


May we use the information you have provided in this form in our web database?
Yes    No

Indiana Conflict Resolution Institute
Last updated: July 30, 2004
Comments: ICRI Administrator
Copyright 1999 - Indiana University, Bloomington