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Thermo Fisher Virtual Industry Day Registration Form
When: Thursday, January 20th from 12:00 - 1:00PM PT
Zoom Link:
https://ucsd.zoom.us/j/99742884952
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* Indicates required question
Full Name (First and Last)
*
Your answer
Email
*
Your answer
Class Level/ Role
*
Undergraduate Student - 1st Year
Undergraduate Student - 2nd Year
Undergraduate Student - 3rd Year
Undergraduate Student - 4th Year +
Graduate Student - Masters
Graduate Student - PhD
Faculty
Staff
Other:
Expected Graduation Date/ Year Graduated (Write N/A if not applicable)
*
Your answer
What is your Department?
*
Chemistry/Biochemistry
Mathematics
Physics
Other:
What is your Major? (Write N/A if not applicable)
*
Your answer
First Generation College Student?
*
Yes
No
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Race/Ethnicity (optional)
*
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
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Other:
How did you hear about this event?
*
Department Email
Student Success Center Email
Student Success Center's Website
Social Media
Friend/Peer
Handshake
Other:
Required
Please include one question you have for the Thermo Fisher panelists.
*
Event details can be found here:
https://center.ucsd.edu/student-events/upcoming-events.html#thermo
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Additional questions/comments:
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