FORM Become a Partner First name Last name Email address State/Province Phone number Zip code Country Please select Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo (Democratic Republic) Congo (Republic) Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Macedonia Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Partnership Details What type of partnership are you interested in? Please Select Academic Collaboration Industry Partnership Research Collaboration Internship/Placement Partnership Sponsorship/Endowment Have you partnered with an educational institution before? Yes No If yes, provide details Preferred Mode of Communication Please select Email Phone Video Call In-Person Meeting Which academic departments are you most interested in collaborating with? Please select Business & Management Marketing Engineering & Technology Health Sciences Social Sciences Arts & Humanities Law & Public Policy Other Institutional Details Organization Type Please select University Research Institute Nonprofit Corporation Government Agency Independent Consultant Other Primary Area of Focus Please select Education Technology Healthcare Finance Social Development Environmental Sustainability Other Supporting Documents & Agreement Upload Your Organization's Profile/Brochure Upload Your Business Registration or Certification Please upload a VERIFIED copy of your Organization's Profile or Brochure. VERIFIED means the original document has been reviewed, and the copy has been dated and signed by an authorized representative of your organization. Upload Business Registration or Certification Declaration Application full name Additional information By submitting this form, you agree to the Lisburn University privacy notice. Submit Aplication