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MEED Program Information Form
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What is your name?
*
Your answer
What is your email address?
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Your answer
What Department are you in? And who is your supervisor?
Your answer
What are your research interests?
Your answer
Do you have other science outreach/education experience?
Your answer
Are you available Thursday, October 29th from 5:30-7:30pm for Workshop #1?
*
If no, please let us know if there is a better day for you in the "other" option. We can meet with you one-on-one as well to get you up to speed.
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Other:
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