Expression of interest form for "Fulbright-Cottrell Professional Development Workshop"
This Workshop is POSTPONED to a future date due to the recent coronavirus outbreak. We are keeping this form live and accepting entries so you can express your interest for the rescheduled date and add yourself to our mailing list. This is *not* a registration for the workshop.

Contact info:,
Email address *
Personal Data
Title *
Last name *
First name *
Preferred name (if other than first name)
Affiliation (Institution) *
Department *
Current type of position *
Area of research *
Years after completing PhD *
Tweet about yourself *
Please introduce yourself and your interests in the workshop with a tweet-like text. This will be distributed with the participant list on site.
Date of arrival
Date of departure
Dietary Preferences
Clear selection
Food Allergies?
Workshop Dinner?
Will you participate in the workshop dinner on Tuesday?
Clear selection
Do you need childcare during the workshop? *
Complimentary, licensed childcare will be available during workshop hours in support of junior faculty attendees with families. We will get in touch with those in need to organize this.
What are your expectations for the workshop?
Any specific subject you would like to see covered?
How did you hear about the workshop?
Any additional comments?
A copy of your responses will be emailed to the address you provided.
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