ESA Southeastern Chapter Communicating Science Workshop RSVP
Monday, February 3, 10:00 am to 5:00 pm, EST
NIMBioS
(The National Institute for Mathematical and Biological Synthesis is centrally located on the University of Tennessee-Knoxville campus in the Philander P. Claxton Education Building, 1122 Volunteer Boulevard.)
Contact Alison Mize, director of public affairs, with any questions at
alison@esa.org
.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
University, Business, or Organization
*
Your answer
Professional Title or Student Level
*
Your answer
Telephone Number
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
In 100 words or less, tell us why you would like to attend and how you would put the training into practice.
*
Your answer
After attending the workshop, would you consider attending a meeting with your Member of Congress in your state or in Washington, DC? ESA staff is happy to assist you and provide guidance. We routinely train and work with ESA members to visit their Member of Congress and our ESA members find it rewarding and a lot easier than previously thought!
*
Yes
Yes, with ESA assistance
Maybe, not sure.
No
Have you previously met with your Members of Congress?
Yes
No
What is your congressional district, who represents you in the House of Representatives? (
https://www.house.gov/representatives/find-your-representative
)
Your answer
Who are your Senators?
Your answer
Have you attended previous policy or communication workshops; and, if so, would you please provide some details about the training?
Your answer
Are you able to attend the entire workshop? (Monday, Feb. 3, 10:00 am to 5:00 pm)
*
Yes
No
Will you require a $200 overnight travel award? (For those who are traveling more than 60 miles)
*
Yes
No
Will you require a $100 commuter travel award? (For those who reside between 45-60 miles from Knoxville)
*
Yes
No
Enter your NIMBioS registration code if you were given one. (Please note that travel awards are not available for those who register using a code.)
Your answer
Are you an ESA Member?
Yes
No
Are you a member of the ESA Southeastern Chapter?
Yes
No
I have read and agree to follow the ESA Code of Conduct while attending the event.(
https://www.esa.org/events/code-of-conduct-for-esa-events/
)
*
Yes
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
