Self-Nomination Form for Presidential Working Group on the Evidence of the Impact of Overturning Roe v. Wade on Women and Families

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1. Are you a current SRCD Member? You must be an SRCD member to participate in the working group. (Required.)

Yes

No

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2. Please enter your contact information. (Required.)

Name

Institution / Organization

Email Address

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3. Please provide a link to you CV or Biosketch (or upload below). (Required.)

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4. Please upload a CV or Biosketch if you did not provide a link above.