Name

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* 1. Name

Email address

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* 2. Email address

Summer Plans: If you are doing research or an internship, let us know where and with whom!

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* 3. Summer Plans: If you are doing research or an internship, let us know where and with whom!

Are you willing to be featured on WiSE social media accounts?

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* 4. Are you willing to be featured on WiSE social media accounts?

Anything else you'd like to share?

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* 5. Anything else you'd like to share?

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