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Latina Researchers Conference: Abstract Poster Session
Author(s) Information
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1.
Title of Poster
(Required.)
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2.
Please provide contact information for first author
(Required.)
First Name
Middle Name
Last Name
Primary Organization/Institution
Mailing Address
Preferred Email
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3.
Are you an early career investigator (i.e., received an advanced degree within 7 years)?
(Required.)
YES. Received advanced degree within 7 years
NO. Received advanced degree more than 7 years ago
NO. Do not have an advanced degree
Other (please specify)
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4.
Are you currently enrolled as a student?
(Required.)
Yes, I am a doctoral student
Yes, I am a masters level student
Yes, I am enrolled as a student but not described by the above options
No, I am not currently enrolled as a student
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5.
Are you currently enrolled as a student of the University of the Incarnate Word?
(Required.)
Yes, I am a UIW doctoral level student
Yes, I am a UIW masters level student
Yes, I am enrolled as a UIW student but not described by the above options
No, I am not currently enrolled as a UIW student
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6.
Are you a member of an underrepresented population interested in research activities? (Examples include but are not limited to persons who: are from a racial or ethnic minority populations, grew up in a low-income community, is a first generation college student, rural, other under-represented group).
(Required.)
Yes
No
7.
Please check all of the following categories that apply to you:
1st generation college graduate
Racial or ethnic under-represented minority population (African American, Latino, Native American/Alaskan Native, Pacific Islander)
Raised in a low-income community
From a rural community
Attended a Historically Black College or University
Attended a Hispanic Serving Institution
Not applicable
Other underrepresented status (Please specify)
8.
Hispanic or Latino:
Yes
No
Prefer not to answer
9.
What do you identify as your race (Check all that apply)?
White, non-Hispanic
Black, non-Hispanic
Hispanic/Latina(o) White
Hispanic/Latina(o) Afro-descendant
Hispanic/Latina(o) Mestizo(a)
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Other (please specify)
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10.
Will you be submitting an application for our Travel Award?
(Required.)
Yes
No
Unsure
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11.
Please list Co-Author(s). If sole author, please indicate NA
(Required.)
NA, I am the sole author
Co-Author 1: First Name and Last Name
Co-Author 1: Primary Institution/Affiliation
Co-Author 2: First Name and Last Name
Co-Author 2: Primary Institution/Affiliation
Co-Author 3: First Name and Last Name
Co-Author 3: Primary Institution/Affiliation
