Application Form for the Scientist Sentinels: Civic Engagement & Leadership Program.
To learn more about the training, see the web page here:
If you have additional questions, or any difficulty using this form, please contact
Email address *
Name *
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Email *
Your answer
Phone Number *
Your answer
Affiliation *
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Academic Credentials *
What is your academic background?
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Brief Bio *
Please share a brief (1 paragraph) bio, including research topics and previous engagement expereinces or outreach efforts.
Your answer
References *
Please provide 2-3 references (and contact info where they can be reached).
Your answer
Resume/CV *
Please provide a link to your resume or brief CV, if available online, or indicate your intention to send as an attachment to (please put Scientist Sentinels and your last name in the subject line).
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