SciAccess Working Group Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the below form to become a member of the SciAccess Working Group. This is an international collective of professionals who meet via Zoom on a monthly basis to share ideas, projects, and experiences related to disability inclusion and diversity in STEM.

Email *

First Name *

Last Name *

Current occupation *

Are you a student? If so, please list what year you are in and the subject you are studying.

Please briefly tell us why you are interested in joining the SciAccess Working Group.

What accessibility accommodations do you require during group meetings?

None

CART Captioning

ASL Interpreting

Descriptions of visual content

Other:

Clear selection

Are you interested in giving a 10 to 15-minute presentation on your work during a future group meeting? *

Yes

Other:

If you answered yes above, what would be the title of your proposed session?

If you answered yes above, please provide a brief description of your proposed presentation. What resources, projects, or ideas would you like to share with the group?

What topics are you most interested in discussing/ learning about from others? *

What is your current country of residence and TIME ZONE? This will help us determine the best times to schedule future meetings.

Thank you for your interest in the SciAccess Working Group! We are excited to have you join.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of SciAccess, Inc..

Does this form look suspicious? Report

Forms