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* 1. Are you willing to be contacted by Society trainees?

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* 2. My primary field of interest is in:

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* 3. My current position is in:

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* 4. Please provide a brief biographical sketch, including a description of your current position and responsibilities, and career history (this will be included in the posting).

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* 5. Would you be willing to have your biographical sketch featured in the "Meet a Member" blog series? You may be contacted for additional information, and would be notified before posting. It is expected that you would actively participate in the blog to respond to posted questions/comments.

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* 6. Your Name:

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* 7. Your Email Address:

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* 8. Your Phone Number:

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