Latina Researchers Conference: Abstract Poster Session

Author(s) Information

Question Title

* 1. Title of Poster

Question Title

* 2. Please provide contact information for first author

First Name

Middle Name

Last Name

Primary Organization/Institution

Mailing Address

Preferred Email

Question Title

* 3. Are you an early career investigator (i.e., received an advanced degree within 7 years)?

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)

Question Title

* 4. Are you currently enrolled as a student?

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?

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).

Yes

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* 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)

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* 8. Hispanic or Latino:

Yes

Prefer not to answer

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* 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?

Yes

Unsure

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* 11. Please list Co-Author(s). If sole author, please indicate NA

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