Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
JINA-CEE location you were working at or visiting
Michigan State University
Notre Dame
University of Washington
Arizona State University
Other:
Clear selection
Email Address
*
Your answer
Resulting Publications from JINA-CEE interaction
(where individual is a co-author)
Your answer
Date of Departure
MM
/
DD
/
YYYY
For Postdocs
Please indicate your future plans.
Position
Your answer
Institution
Your answer
Category
Another postdoc position
Academia
Industry
National Laboratory
Left the scientific workforce
Other:
Clear selection
For Graduate Students
Please indicate your future plans.
Position
Your answer
Institution
Your answer
Category
Postdoc position in Academia
Postdoc position in Industry
Postdoc position at National Laboratory
Left the scientific workforce
Other:
Clear selection
For Undergraduate Students
Please indicate your future plans.
Check the appropriate area
Attending graduate school in basic science
Accepting position in industry
Attending professional school in a non-science area
Unknown
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report