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Your Preferred Contact Information

* 1. Name

* 2. Address

* 3. This is my:

* 4. We are developing an alumni directory to be shared with BTI alumni who choose to be included. Please indicate if you wish to be included and, if so, which information you are willing to share with other alumni.

Alumni Networking

* 5. Please help us develop a strong Alumni Network by identifying which of the following would interest you.

* 6. If interested, how far would you be willing to travel to attend an alumni event?

Educational and Career Information
We look forward to receiving updates from our Alumni so we may highlight them in our communications. Please include any information that you wish to share below.

* 7. Please provide links to any professional profiles.

* 8. Are you currently working in a science-related area? (Please select the statement that best relates to you.)

* 9. What is your current position description/employer and job title?

* 10. Please list any awards that you have received.

* 11. Describe any additional positions/affiliations that you have held and wish to be associated with.

* 12. The best way to stay informed about BTI news and updates is through our concise monthly newsletter, BTI LabNotes.
You will be added to our Labnotes mailing list unless you opt-out by checking the box below.

* 13. Did we miss anything? Please use this box to describe anything else you would like to share regarding your educational, professional, or BTI experience.

Thank you for your time and interest in a continued relationship with BTI. Please feel free to contact us at for any additional information. You may also send your professional CV to this address.

Wishing you all the best,
The BTI Alumni Relations Team