Sign-Up: Virtual Panel on Underrepresentation in STEM

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Thank you for your interest in the Virtual Panel on Underrepresentation in STEM. The event will take place on Friday, March 4th, 2022 from 1:00pm -3:00pm EST via Zoom. You must complete and SUBMIT this form to sign up for the event and to confirm your information. The zoom link will be sent out when the event gets closer.

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Your Name (used to verify your information on zoom): *

Email Address (used to verify your information on zoom): *

Which best describes your current role? *

Undergraduate Student

Graduate Student

Faculty Member

Research Staff

Other:

Which Rutgers campus are you affiliated with? *

Newark

New Brunswick

Camden

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What department are you currently in? *

By completing this form, you agree to not share the zoom link with anyone (you may share the sign-up sheet). In addition to this, you agree to be respectful and professional during the panel. During the Q&A, you agree to engage in respectful and professional dialogue. Failure to do so will result in removal from the zoom session. *

I have read and agree to these terms.

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