Center for Socially Engaged Design Your Name* First Last Your Email* Affiliation*UndergraduateGraduate - Master'sGraduate - DoctoralFaculty/LecturerStaffAlumSchool/College/Unit*EngineeringArt & DesignInformationPublic HealthSocial WorkArchitecture & Urban PlanningDepartment/Subunit*MechanicalBiomedicalIndustrial & OperationsComputer Science/EngineeringElectricalMaterials ScienceDesign ScienceChemicalCivil & EnvironmentalUniqname(s) of additional attendees, if anyConsultation Topic*Select a TopicMedical Device DesignSocial Venture CreationConsultant*Select a ConsultantCameron Beversluis, Project CoordinatorErin Moore, BA - Assistant DirectorIlka Rodriguez-Calero, PhD Student, Graduate FacilitatorMaggie Steele, Graduate FacilitatorRobert Loweth, PhD Candidate, Graduate FacilitatorNishant Jalgaonkar, Graduate FacilitatorMatthew Nelson, PhD Pre-CandidateC-SED Student Lab AssistantsJesse Austin-Breneman, PhD Asst ProfJosh Bishop-Moser, PhDChristie Donahue, MSWAileen Huang-Saad, PhD Assoc Prof PracAmy Klinke, MSW, BEC DirectorCharlie Michaels, MFA - Associate DirectorIbrahim Mohedas, PhD Post-DocJeff Plott, PhD Research FellowRandy Schwemmin, MS, MBAKathleen Sienko, PhD, Associate Professor, C-SED Co-FounderSteven Skerlos, PhD, Professor - Faculty DirectorCaroline Soyars, BSKentaro Toyama, PhD Assoc ProfJin Woo Lee, PhD CandidateMaria Young, MSConsultation Category*Curricular (related to a class project)Co-Curricular (project not related to a class)Professional DevelopmentAssociated Organization, Course, or Program*i.e. BLUElab, ME450, MDPProject*i.e. Project MESA, walking aid, E-nableNumber of Students on Your Design Team*If just you, enter "1". Consultation Agenda*Provide an overview of key questions/topics you want to discuss with the consultant. If applicable: Please provide details about where you are in your design process. Provide your need and/or problem statement and any information about the partner community.CalendarYou should be logged into your U of M account to book an appointment.Did you schedule a Google Appointment Slot using the calendar in this form?YesNo, but I have already confirmed a time with my consultantNo, there is no calendar shownNo, none of those times work for meConfirmation of Consultation Appointment Date/TimeDate Date Format: MM slash DD slash YYYY Time : HH MM AM PM Request a Consultation Appointment Date/TimeIf there is no calendar in this form, please submit 3+ times that you are available and a consultant will reply within 72 hours.My Availability*Select a different consultant or explainIf none of the times provided in your preferred consultant's calendar work for you, return to the top of the form to select a different consultant. If you can't find a consultant in your topic area with availability that suits your schedule, please change the consultant to Christie Donahue and provide an explanation below. Christie will help coordinate a time with a consultant in your topic area, if possible.ExplanationProvide the name of your preferred consultant(s) and 3+ available times. Christie will get back to you within 72 hours to try coordinating a time. This iframe contains the logic required to handle Ajax powered Gravity Forms.