* 1. What is your first name?

* 2. What is your last name?

* 3. Please provide your email

* 4. What is the highest level of school you have completed or the highest degree you have received?

* 5. What is your job title?

* 6. What's your affiliation?

* 7. Select your general area of research (select all that apply)

* 8. What is your specific area of research? (select all that apply)

* 9. Which of the following non-Science related activities do you enjoy most? (mark all that apply)

* 10. Rank the workshops in you preferred order

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