2021 DBNY Meeting Registration

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Email *

Name *

Institution *

Position *

Undergraduate student

Graduate student

Faculty

Other:

Lab affiliation *

This conference is designed to highlight undergraduate research, so undergraduates are especially encouraged to present their work. Are you planning to present your work at this meeting? *

I would like to present a poster.

I would like to present a talk.

I am not planning on presenting this year.

I am unsure.

Demographic Information

Ian and Te-Wen were fortunate enough to get funding from the NIH (R13 HD103329-01) to fund our DBNY conferences. For reporting, assessment, and future application purposes, we would greatly appreciate it if you could provide some demographic information. Prior to analysis, all names and identifiers will be removed from the demographic information. For any question that you would prefer not to answer, simply write "prefer not to answer" in the space provided.

Gender *

Ethnicity *

Do you identify as a first generation college student? *

Yes

Prefer not to answer

Do you identify as LGBTQIA+ *

Yes

Prefer not to answer

Are you a member of CSTEP? *

Yes

Prefer not to answer

Are you a member of CSTEM? *

Yes

Prefer not to answer

Are you a member of HEOP? *

Yes

Prefer not to answer

Are you a member of S-STEM? *

Yes

Prefer not to answer

Are you a member of LSAMP? *

Yes

Prefer not to answer

Are you a recipient of a Pell Grant? *

Yes

Prefer not to answer

Will DBNY 2021 be the first scientific conference that you have attended? *

Yes

Will DBNY 2021 be the first scientific conference that you will present your research? *

Yes

No, I have presented a poster at a previous conference.

No, I have presented a talk at a previous conference.

A copy of your responses will be emailed to the address you provided.

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