CEBH-NIDCD Workshop Registration
1.
The CEBH-NIDCD Workshop will be at the Maryland Fire and Rescue Institute from 8:30 am to 4:30 pm on October 12th, 2022. Will you attend?
Yes
No
2.
How would you like your name to be printed on your nametag?
(Firstname Lastname)
3.
What is your affiliation?
NIDCD
University of Maryland
Walter Reed Medical Center
Other (please specify)
4.
What is your position?
Graduate student trainee
Post-doctoral trainee
Assistant Professor
Associate Professor
Full Professor
Principle Investigator
Research Scientist
Lab Manager
Research Audiologist
Other (please specify)
5.
Do you have any dietary restrictions? (Select all that apply.)
I do not have any dietary restrictions.
Vegetarian
Vegan
Lactose Intolerant
Gluten Free
No Shellfish
No Nuts
Other (please specify)
6.
What is the best email address for updates about this event?