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Ole Miss Summer REU DEIR Workshop Registration Form
Tuesday, July 11, 2023, 12 pm - 4:30 pm Brevard Hall Auditorium
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* Indicates required question
Provide your first and last name.
*
Your answer
Provide your email address.
*
Your answer
What gender do you identify as?
*
Male
Female
Non-binary
Transgender
Gender fluid
Prefer not to say
Other:
Required
What race do you identify as?
*
Black or African-American
Asian or Pacific Islander
American Indian or Alaskan Native
Hispanic
White or Caucasian
Multiple ethnicities
Prefer not to say
Other:
Required
List your home institution.
*
Your answer
What is your major or field of study?
*
Your answer
Select your student, staff, or faculty rank.
*
High School Student
Undergraduate Student
Graduate Student
Postdoctoral Research Associate
Research/Staff Scientist
Instructor
Assistant Professor
Associate Professor
Full Professor
Other:
Choose your summer program affiliation.
*
Nanoengineering REU
Chemistry REU
STEMS REU
ARISE
Other:
Required
Have you had research experience BEFORE this summer?
*
Yes
No
Other:
Have you ever participated in a diversity, equity, inclusion, and respect workshop before?
*
Yes
No
Unsure
Other:
List any dietary restrictions.
*
Your answer
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