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Picture a Scientist Screening Sign Up Form
Durham University Screening - please do not pass on this form to anyone outside of the University
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* Indicates required question
Name
*
Your answer
Department
*
Your answer
Durham University email (required to receive links to film screening and/or panel discussion; no external email addresses accepted)
*
Your answer
Are you:
*
Academic staff
Professional support staff
Researcher
Postgraduate student
Undergraduate student
Other:
Do you want to receive a link to watch the screening? You can watch the film any time between 12pm Friday 5 March and 12pm Monday 8 March.
*
Yes
No
Do you want to receive a link to take part in the interactive panel/Q&A session? The discussion will take place on Monday 8 March at 1-2pm on Zoom.
*
Yes
No
You will receive the link to the Screening, and a separate link to the discussion by 11am on Friday 5 March.
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