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Nexus of Climate Data, Insurance, and Adaptive Capacity Workshop Application
First Name
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Last Name
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Email
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Affiliation / Institution / Corporation
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Title
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Department
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Mailing Address 1
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Mailing Address 2
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City
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State
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Zip or Postal Code
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Phone
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Country
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Status
Discipline
Please describe how the topics of this workshop relate to your current job responsibilities.
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A substantial portion of the workshop will be devoted to breakout discussion groups. Please list any specific topics of interest you hope to discuss at this workshop.
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Would you like to present a poster?
If yes, please include a title for the poster here. You will be given a chance to change this title later on.
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