PULSE Midwest and Great Plains Regional Network Conference
Please fill out this form to register for the Virtual Regional Network conference.  Submit one registration for each individual participating. The deadline to register is July 12, 2020. If you have questions, please contact steven.matzner@augie.edu.

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First Name *
Last Name *
Title
Institution *
Institution type *
Department or Program *
Email address *
If there are other participants from your department, please list them here. Each participant should submit an individual application, but we would like to know if multiple department members are attending.
Which sessions are you planning to attend? *
Required
Have you, or others in your department, participated in any previous PULSE activities (e.g. attended another PULSE conference or presentation, had an Ambassador visit, etc.)? If yes, please explain. *
Please describe any recent efforts your department has made to transform the teaching and learning of Biology. Examples might include: integrating core concepts across the curriculum, development of a new assessment plan, enhancing undergraduate research experiences, broadening participation in biology. *
What are your goals for participating in this virtual conference? *
If your department has previous experience with PULSE resources, would you be interested in helping to mentor another department as they develop their implementation plans?
Clear selection
Please provide more information about your willingness to mentor another department, if desired.
Are there any accommodations that would be required for your full participation in the video conference sessions? If yes, please describe.
Submit
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