2. Name
4. Department
6. Liaison for Which BAC(s)
8. ​Concerns or issues with the BAC:
10. What clarity would be helpful in your liaison role(s) and experiences?
12. I am interested in serving on a focus group about the experience of being a liaison:*

    1. Yes
    2. No

    (We will need your name if you wish to serve on the focus group.)

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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

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