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JINA-CEE Participant Exit Form
JINA-CEE must report to NSF all individual engaged with its goals and work.
This form helps JINA-CEE track participants who are no longer
working on JINA-CEE-related efforts.
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First Name *
Last Name *
JINA-CEE location you were working at or visiting
Clear selection
Email Address *
Resulting Publications from JINA-CEE interaction
(where individual is a co-author)
Date of Departure
MM
/
DD
/
YYYY
For Postdocs
Please indicate your future plans.
Position
Institution
Category
Clear selection
For Graduate Students
Please indicate your future plans.
Position
Institution
Category
Clear selection
For Undergraduate Students
Please indicate your future plans.
Check the appropriate area
Clear selection
Submit
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