2020 International Collaboration and Exchange Program Registration Form
Registration form for program participants- Before you sign up :1) please ensure that you will have time to commit to the full program for the small group sessions and the large group conferences; 2) if your school needs permission to participate please ensure your ICE program faculty approved
I am a student at *
Name (first and last) *
Email address 1 (school email)
Email address 1 (private email)
Are you interested in the travels (Please note "yes-I commit" will trigger that the program will look for a laboratory for you; for "Yes- but do not want to commit" the deadline for letting the program know is the end of November/early December; first come first serve basis)
Clear selection
Preferred university for exchange travel ("no preference" has the highest chance for placement; please note the program is a networking program with limited slots. When committing to travel you are signing up to network with your peers in the partner schools)
I am a *
Required
Please rank your preferred country and city for student exchange from the list above (list up to 3; start with your first choice; no preference has the highest chance for placement)
Research interest (i.e. "Immunology",... if no preference write "zero". The more specific you are the less likely is a match and placement)
I am
Clear selection
I am
Clear selection
Enter your year of school *
Phone number (start with country code)
Whatsapp number or email (if you have)
Facebook name (if you have)
Instagram ID (if you have)
Twitter ID (if you have)
Prior research experience
Clear selection
Columbia students only - I have attached my two consent forms (without consent forms we cannot assign a group to you) *
Faculty approval obtained *
If you are traveling over the summer are you willing to sublet your apartment to incoming ICE students?
Clear selection
Are you willing to serve as a "buddy"/socialize with incoming ICE travel students
Clear selection
Are you interested in being a social leader for the travel students next summer (i.e. organizing social activities for the incoming students?) *
I commit to the full program and will check my email and the website for updates. If I need to drop out I will notify my National Student Leaders, my group and the program immediately. *
I am interested in analyzing research data on the program in the future (scholarly research work) - optional research
Clear selection
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