ComSciCon Miami Application
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Email *
First Name *
Last Name *
Email Address *
Phone Number
Affiliation *
Please provide the name of your principal affiliation (university, business, etc.).
Degree Program *
Required
Primary Field of Study *
Please select the primary field that most closely aligns to your degree program (you will be able to describe your field in more detail below).
Will you be able to attend the entire workshop? *
Please list any dietary restrictions below . *
Describe your previous experience in science communication. *
Please describe your previous science communication efforts, or (if you do not have previous experience) which science communication skills you're most interested in learning. These could include participation or leadership in student organizations, contributions to science outreach programs, blogging or other writing for the general public, activity on social media, or other experiences. (All long answer text questions should be answered in 500 characters or less.)
How would you describe your research to the general public?​ ​ ​ *
Why do you want to attend the ComSciCon-local workshop?  How would attending help or influence your studies and your future career? *
Additional comments - This text will not be considered when evaluating your application, but please use this space to list any additional questions or concerns about the workshop.
Personal Demographics
The following optional questions are for statistical purposes only and will not be considered when evaluating your application.
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Ethnicity (Optional)
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Race/Ethnicity (Optional)
A copy of your responses will be emailed to the address you provided.
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