registration_form__new_bcn_member

Please provide your details to register as a new member

Last name *

First name *

Email address *

Position at the University *

Faculty *

Department *

Link to staff page on the University site *

Explain your connection to BCN's mission

To strengthen connections between BCN members, we announce new members in the BCN Magazine.
May we include your name in the next issue? *

Yes

No