CPING Invasion Genomics Conference Registration Form

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Full name:

Name as you would like it to appear on a name tag:

Email address:

Institution / School:

Career stage

Undergraduate Student

Graduate Student

Postdoctoral Fellow

Assistant Professor

Associate Professor

Professor

Other

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Would you like to attend in person? In-person attendance requires a $25 fee for all non-undergraduates, and we are capped at 75 in-person participants.

I only want to attend in-person

I prefer to attend in-person, but will accept remote participation

I only want to participate remotely

Clear selection

Would you like to present at the 2021 Invasion Genomics Conference?

Yes, a talk (12 minute - 25 minutes, see next question)

Yes, a poster

No, I'm just here to soak up some science

Clear selection

What length(s) of talk would you be interested in giving? (If you select multiple choices, this means you're flexible in talk time, not that you'll give multiple talks)

15 minutes (12 min talk, 3 min Q&A)

20 minutes (16 min talk, 4 min Q&A)

30 minutes (25 min talk, 5 min Q&A)

What is the proposed title for your talk or poster? If you don't have a title in mind, please email blsutherland@gmail.com by August 1st with your title.

Would you like to bring any family members (including children) to the conference with you? If so, please list their names below:

Do you have any dietary needs the organizers should be aware of?

Do you have any physical access needs the organizers should be aware of?

Do you have any audio/visual access needs the organizers should be aware of?

For optional demographic reporting purposes, please state your gender:

For optional demographic reporting purposes, please state your race and/or ethnicity:

For optional demographic reporting purposes, please state if you were a first-generation college student:

For optional demographic reporting purposes, please state if you are part of any other underrepresented minority:

OPTIONAL TRIP: We have contracted with Pack and Paddle Outdoors of Lafayette, LA (https://packpaddle.com/events-and-trips/) to host kayaking tours of nearby Lake Martin on the afternoon of August 11th. Lake Martin is a wetland habitat, and offers a chance to see a variety of Louisiana flora and fauna. Tours will cost $38 per person, due on-site, which includes all needed equipment and guide. Would you be interested in participating in a kayak tour?

Yes, I would like to participate in a kayak tour.

No, I would not like to participate in a kayak tour.

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