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MAAGC 2017 Registration
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First Name
*
Your answer
Last Name
*
Your answer
Institution
*
Your answer
Email address
*
Your answer
Affiliation
*
Undergraduate student
Graduate student
Postdoc or non-tenure-track faculty
Tenure-track or tenured faculty
Other:
Title of poster and name of advisor (for students and postdocs applying to participate in the poster session)
Decisions will be made within five days of registration. Please contact the organizers if you have not heard within that timeframe.
Your answer
Estimated travel costs (if requesting funds); estimate total cost and provide an approximate breakdown of costs
Please note that we have limited funds to defray costs for rail and carpool expenses. Airline tickets will generally not be reimbursed. Junior participants presenting posters will be prioritized.
Your answer
Do you need assistance finding a roommate for shared housing at Club Quarters?
If yes, please answer the next two questions; otherwise, you may leave them blank.
Yes
No
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Your gender (for roommate assignment purposes)
Male
Female
Non-binary
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Preferred gender of roommate
Male
Female
No preference
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Other comments (including information about child care requests)
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