First Name*

Last Name*

Title*

Institution*

Address 1*

State or Province*

Zip or Postal Code*

Email Address*

Business Phone*

Have you reviewed the New User Group Guidelines?*

What region or topic would you like to represent?*

Proposed Group Name*

Tell us how you think this group would benefit greater Blackboard community.*

Have you developed a group mission? If so, please share it.*

Are there others who’ve expressed an interest in joining your group?

How did you hear about Blackboard User Groups?*

Would you like a group space set up on Connections?*

Would you like for us to help sponsor an upcoming BUG meeting?*

Anything else we should know about your group?

Interested in starting your own? Then take a moment to follow these steps:

1. Review the New User Group Guidelines.
2. Complete the following form and tell us why you’d like to form a Blackboard user Group.