Upon completing this form, we will be able to follow-up with you with news and additional information related to our upcoming NSF-funded conference on the QFT in higher education.

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* 1. Name

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* 2. Email Address

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* 3. College, University, or Institutional Affiliation

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* 4. Role/Job Title

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* 5. Please provide any additional information you might find useful to share:

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