JINA-CEE Participant Form
JINA-CEE must report to NSF all individual engaged with its goals and work.
This form helps JINA-CEE track all participants.
First Name *
Last Name *
Email Address *
Local Addresss
Local Phone
Home Institution Address
Home Institution Phone
JINA-CEE (associated) location where you are working/visiting
Clear selection
Research Focus *
Faculty member you are working with (advisor or supervisor)
The following information is used in reporting to NSF, but will remain confidential.
Citizenship *
Are you a US Person (any individual who is a citizen of the United States, a permanent resident alien of the United States, or a protected individual as defined by 8 U.S.C. 1324b(a)(3)?
(list all countries currently holding citizenship/permanent residency, and indicate which his most recent)
Gender *
Type of Participant *
Clear selection
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