Reservation Request
Attendance is limited to currently enrolled Duke undergraduate and graduate students, postdocs, and faculty.

In order to cultivate a rich experience, attendance is limited and care will be taken to select participants with diverse professional and cultural backgrounds, professional interests, and areas of study. Submitting this form does not guarantee your attendance at the event. Science & Society staff will be in touch via email with confirmation or notification if you've been placed on a waitlist.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
I am a: *
Required
I am in year: *
Your answer
I study: *
Your answer
I do research in the following lab (if applicable):
Your answer
Why are you interested in this specific topic or host? *
Your answer
Do you need transportation?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.