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* 1. Contact Details (Name, Surname, Email address and Institution)

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* 2. Would you like to hear more about the activities of WIOGEN in the future? (This will not mean you are inundated with spam; we will only send targeted information that is appropriate)

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* 3. WIOGEN has three broad working groups, please indicate which working group you would like to join

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* 4. Would you and your institution possibly be interested in hosting training schools, exchanges or events that will be planned through WIOGEN? (WIOGEN includes funding for events to take place)

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* 5. Are there other individuals or institutions you would like to work with on joint publications and knowledge exchanges in the future? (Please include contact details)

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* 6. Are there early career scientists that you would recommend to be showcased as part of the WIOGEN network?

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* 7. Do you have specific ideas for short training initiatives that would be beneficial to individuals from the region?

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* 8. Do you have suggestions for people or institutions that would like to be part of the WIOGEN network but may not have heard about it?

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