JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SEPA interest form
Thanks for your interest in SEPA!
SEPA is the Science and Education Policy Association of the Tri-I (Rockefeller University, Weill Cornell Medicine, and Memorial Sloan Kettering) and members must be affiliated with the Tri-I.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
*
Your answer
What is your email address?
*
Your answer
Which institution are you part of?
*
Rockefeller
Weill Cornell
MSK
Tri-I
Other:
What is your position?
Graduate student
Postdoc
RA
Other:
Clear selection
How did you first learn about SEPA?
Club fair
Email
Friend
Social media
Other:
Clear selection
What type(s) of SEPA programming are you most interested in?
Your answer
Would you be interested in joining SEPA leadership?
Yes
No
Maybe
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
