Lamat 2022 Application

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Email *

Full legal name. *

Chosen name, if different from the above.

If you would like, please share the phonetic pronunciation of your chosen full name.

What are your pronouns? Please select all that apply. *

She/her

He/him

They/them

Ze/hir

Other:

Required

What is your gender? Please select all that apply. *

This is an NSF-required question.

Woman

Man

Transgender

Genderqueer/gender non-conforming

Two-spirit

Prefer not to say

Other:

Required

Phone number (if outside the U.S., include country code). *

Current full address (address line 1, address line 2, city, state/province, country, zip code). *

THINK: how do we mail you something? Examples: 777 John Street, Apt 7, Santa Cruz, CA, USA 77777 // Calle Juan 777, No 7, Cuatitlan Izcalli, Mexico, 7777

What is your ethnicity? *

This is an NSF-required question.

Hispanic or Latino

Not Hispanic or Latino

I decline to state

What is your race? Please select all that apply. *

This is an NSF-required question.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

I decline to state

Required

Do you require any accommodations?

Date of birth *

YYYY

City and state OR country of birth (if outside the U.S.) *

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