Ximera Workshop 5 Application
Location: Columbus, Ohio
Date: July 9th and 10th 2018
Room: Cockins Hall 042

If you are interested in the Ximera Workshop 5, please let us know a little about yourself.
First Name *
Last Name *
Email Address *
Institution/Company *
What are your interests in Ximera? *
Check all that apply
Required
Can you (very briefly) describe any skills/experience you may have? *
Other concerns.
If you have other concerns or comments that do not appear above, use this space to express them. Note, it is fine to leave this blank.
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