Student Oral and Poster Presentation Judge Registration
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First Name: *
Last Name: *
Email address: *
Highest Degree Earned: *
Current Institution/Organization: *
Other Current Institution:
Current Position/Status: *
Scientific Discipline Expertise: *
If more than one, rank in order of preference. Give Three.
Dietary Preference: *
Food Allergy Details: *
DO YOU HAVE ANY SPECIAL NEEDS SACNAS NEEDS TO BE AWARE OF DURING YOUR STAY AT THE CONFERENCE?:
ANY OTHER NEEDS NOT MENTIONED ABOVE OR COMMENTS, PLEASE DO SO HERE:
Judge History: *
HOW MANY TIMES HAVE YOU SERVED AS A JUDGE AT THE SACNAS NATIONAL CONFERENCE IN THE PAST?:
ANY OTHER SACNAS NATIONAL CONFERENCE, PLEASE SPECIFY YEAR:
WHICH DAYS WOULD YOU BE INTERESTED IN JUDGING?: *
We strongly encourage you to judge for at least 2 days
WOULD YOU LIKE TO JUDGE ORAL AND/OR POSTER PRESENTATIONS? YOU MAY SELECT MORE THAN ONE: *
SERVE AS SUB-COMMITTEE CHAIR?: *
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