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.
Name of the Center Director
Email of the Center Director
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
Full street address of Center. Used to map Center, but is not displayed as is.
Displayed as a link to your Center
This Center has space to host visiting researchers
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