PhD and Basic and Translational Scientist Working Group Involvement Form

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1. Please provide your full name.

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2. Please provide your email address.

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3. Which ATS Assembly do you belong to?

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4. What is your current job title?

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5. Which institution are you affiliated with?

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6. How did you hear about the PhD and Basic and Translational Scientist Working Group?

Through a colleague's or mentor's recommendation

Social media

ATS newsletter

Attended a seminar (co)hosted by your working group

Other (please specify)