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USNCCM18 Room Sharing Survey
Please add your contact information and details to find potential roommates for the upcoming USNCCM18 conference. By filling out the form, you are willing to be contacted through email by potential roommates.
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* Indicates required question
Email
*
Your answer
Name
*
Your answer
Training level
*
Undergraduate student
Graduate student
Post-Doc
Faculty
Industry
Other:
Arrival date
*
MM
/
DD
/
YYYY
Departure date
*
MM
/
DD
/
YYYY
Your gender identity
*
Male
Female
Non-Binary
Other:
Gender identity of preferred roommate
*
Male
Female
Non-Binary
Other:
Any additional information you want potential roommate to know?
Your answer
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