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Summer Nanoscience Workshop Registration
Wednesday - Friday, July 13 - 15, 2016
8am - 4pm
Stevens Institute of Technology, Hoboken NJ
Your first name
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Your last name
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Your school email address
Your answer
An alternate email address, or a phone number
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Your school name
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State you are traveling from
Funds are available for daily out-of-state commuting. This does NOT include overnight accommodations.
How many years have you been teaching, including this year?
What level students to you currently teach?
Check all that apply
Required
What topic(s) do you cover in your classes?
Required
Attendance over the three days is required for priority placement in this workshop. Please choose the answer that best matches your availability.
Your current knowledge of nanoscience topics is
Very limited
Very knowledgable
What are you hoping to gain from this course?
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Required
How did you hear about this course?
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Is there anything else you'd like to tell us?
If you have questions, do not leave them here, email mariel.kolker@msdk12.net instead.
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