Registration Form: Writing as a Scientist
* = field required.

BY COMPLETING THIS FORM, YOU ARE SUBMITTING A REGISTRATION REQUEST.
Upon receipt of your registration, we will follow up with you to confirm whether there is still space in the session. Participation is limited to 20. We will make a wait list.

Writing as a Scientist
Oct. 4 | 12:00 pm 
Lunch provided for 20 people, RSVP required
Q&A with Dr. Priya Shukla about getting + writing a magazine column, United Nations reports, contributing to & writing books, etc. 
Hosted by WySCI, Haub School, Honors College, INBRE, Space Grant, LAMP, and Science Initiative/Institute  

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First Name *
Last Name *
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You are welcome to specify pronouns, if you would like.
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Please provide an email address that you check regularly and will respond to throughout the fall 2019 semester.
What is your primary discipline? *
Please indicate your primary field(s) of study.
Please indicate your current position: *
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In 100 words or less, describe your professional foci. *
Why are you interested in this session? *
Please feel free to share what you hope to learn, what concerns you have about art-science integration, etc.
How did you hear about this session? *
We have a vegetarian meal planned. Do you have any additional dietary constraints that we should be aware of? If so, please specify below. *
A copy of your responses will be emailed to the address you provided.
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