LEAG Mentee Registration Form 2023

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Thank you for your interest in the LEAG Annual Meeting mentoring. Please fill out the questions below if you are interested in being paired with a mentor at the meeting. If you have questions about the program or are interested in serving as a meeting mentor, please email LEAG DEIA Chair Kristen Bennett at kbennett@usgs.gov.

Please register by Monday August 14, 2023

Name: *

Email: *

Affiliation: *

Current position/career stage: *

Are you a student? (Non-students are still eligible)

Yes

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If no, what is your highest earned degree type and year earned?

What is your research area/focus? *

Are you planning to attend in person or virtually? (Please register for the LEAG Annual Meeting on the meeting website, https://www.hou.usra.edu/meetings/leag2023/registration/) *

In person

Virtually

Unsure

Comments (optional):

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