Author(s) Information

Title of Session

Question Title

* 1. Title of Session

Please provide contact information for Chair

Question Title

* 2. Please provide contact information for Chair

Please provide contact information for Discussant

Question Title

* 3. Please provide contact information for Discussant

Are you a mid-career or senior investigator/scholar? (received advanced degree more than 7 years ago)

Question Title

* 4. Are you a mid-career or senior investigator/scholar? (received advanced degree more than 7 years ago)

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).

Question Title

* 5. 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).

Please check all of the following categories that apply to you:

Question Title

* 6. Please check all of the following categories that apply to you:

Hispanic or Latino:

Question Title

* 7. Hispanic or Latino:

What do you identify as your race (Check all that apply)?

Question Title

* 8. What do you identify as your race (Check all that apply)?

First Presentation

Question Title

* 9. First Presentation

Second Presentation

Question Title

* 10. Second Presentation

Third Presentation

Question Title

* 11. Third Presentation

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