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JINA-CEE Participant Form
JINA-CEE must report to NSF all individual engaged with its goals and work.
This form helps JINA-CEE track all participants.
First Name *
Your answer
Last Name *
Your answer
Your answer
Email Address *
Your answer
Local Addresss
Your answer
Local Phone
Your answer
Home Institution Address
Your answer
Home Institution Phone
Your answer
JINA-CEE (associated) location where you are working/visiting
Research Focus *
Faculty member you are working with (advisor or supervisor)
Your answer
The following information is used in reporting to NSF, but will remain confidential.
Citizenship *
Are you a US Person (any individual who is a citizen of the United States, a permanent resident alien of the United States, or a protected individual as defined by 8 U.S.C. 1324b(a)(3)?
(list all countries currently holding citizenship/permanent residency, and indicate which his most recent)
Your answer
Gender *
Type of Participant *
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