NCCAT & NRAMM Workshop on graphene grids for cryoEM
August 24, 2021

Please Answer the Following

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* 1. Full Name

*First

Middle name (if applicable)

*Last

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* 2. Career level

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* 3. Contact information

Institution *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 4. eRA Commons name (or ORCID if you do not have one)

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* 5. Please provide a brief statement why you should attend this short course.

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* 6. Would you be willing to give a lightning talk on your work/research? If so, then please provide a title.

Yes

If Yes, then please provide a title.

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* 7. What is your overall cryoEM expertise/proficiency?

1 (beginner)

2 (intermediate)

3 (expert)

1 (beginner)

2 (intermediate)

3 (expert)

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* 8. What is your current cryoEM expertise/proficiency in sample preparation?

1 (beginner)

2 (intermediate)

3 (expert)

1 (beginner)

2 (intermediate)

3 (expert)

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* 9. Are you willing to provide a CDC vaccination card or show a New York State Excelsior Pass showing proof of COVID-19 vaccination?

Yes

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* 10. Would you like to bring your own sample to plunge freeze on graphene grids during the workshop? If so, then please describe the sample and why using graphene grids may be helpful.

Question Title

* 1. Full Name

Question Title

* 2. Career level

Question Title

* 3. Contact information

Question Title

* 4. eRA Commons name (or ORCID if you do not have one)

Question Title

* 5. Please provide a brief statement why you should attend this short course.

Question Title

* 6. Would you be willing to give a lightning talk on your work/research? If so, then please provide a title.

Question Title

* 7. What is your overall cryoEM expertise/proficiency?

Question Title

* 8. What is your current cryoEM expertise/proficiency in sample preparation?

Question Title

* 9. Are you willing to provide a CDC vaccination card or show a New York State Excelsior Pass showing proof of COVID-19 vaccination?

Question Title

* 10. Would you like to bring your own sample to plunge freeze on graphene grids during the workshop? If so, then please describe the sample and why using graphene grids may be helpful.

Question Title

* 11. Additional comments to NCCAT.