ASCENT Affiliate Application Question Title * 1. Name and Address Name Address City/Town State ZIP Email address Phone number Question Title * 2. Which institution are you affiliated with? Columbia Cornell CUNY NYU Other (please specify) Question Title * 3. Which department within that institution? Computer Science Computer Engineering Electrical Engineering Other (please specify) Question Title * 4. What is the name of the research lab in which you are working? Question Title * 5. Who is your primary/main advisor? Question Title * 6. What is his/her email address? Question Title * 7. What is your research specialty or area of interest? Question Title * 8. When did/does your postdoc begin? (Month and year) Question Title * 9. When does your postdoc end? Question Title * 10. What type of position are you most interested in upon completion of your postdoc? Tenure-track faculty Non-tenure track/other faculty Industry research Government research Other (please specify) Done