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CCIB Student Organizing Committee Member Registration
Academic Year 2019 - 2020
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Undergraduate / Graduate?
*
Undergraduate
Graduate - MS
Graduate - PhD
Year of Study
*
1
2
3
4
5
6+
Experimental / Computational?
*
Experimental
Computational
Not sure yet
Other:
What are your preferred pronouns?
*
She/her
He/him
They/them
Other:
Who is your PI?
Your answer
Best way to contact you:
*
Slack (preferred)
Email
Dietary Restrictions
*
Vegetarian
Vegan
Kosher
Halal
Gluten-free
None
Other:
Suggestions for 2019-2020 Student Events
Your answer
GitHub Username, if applicable
Your answer
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