centerNet New Member Form
Please complete all new member information requested on this form.
Information which will NOT appear on centerNet website
Please provide the following information, which will NOT appear on the centerNet website.
Email of the Center *
This is the email which will be used to create the Center account on the centerNet website. Can be the same as director email, but does not have to be.
Your answer
Name of the Center Director *
Your answer
Email of the Center Director *
Your answer
Information which will appear on centerNet Website
The following information WILL appear on the centerNet website (
Name of the Center *
Name as you would like it to appear on website
Your answer
Description of Center *
Please provide a 2-4 sentence description of your Center.
Your answer
Physical Address *
Full street address of Center. Used to map Center, but is not displayed as is.
Your answer
Year established *
Your answer
Website Address *
Displayed as a link to your Center
Your answer
This Center has space to host visiting researchers *
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