Sino-US Women in Engineering Symposium

Last Name

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* 1. Last Name

First Name

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* 2. First Name

Email

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* 3. Email

Current Position

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* 4. Current Position

Length of time in academic position

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* 5. Length of time in academic position

Field of Expertise

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* 6. Field of Expertise

Current Responsibilities

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* 7. Current Responsibilities

To which racial or ethnic group(s) do you most identify?

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* 8. To which racial or ethnic group(s) do you most identify?

Interest Statement - Why you may be interested in attending the symposium?

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* 9. Interest Statement - Why you may be interested in attending the symposium?

Bio Sketch or NSF Bio

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* 10. Bio Sketch or NSF Bio

Can you serve on a panel and/or present a session?

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* 11. Can you serve on a panel and/or present a session?

If yes, what topics are you comfortable presenting on?

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* 12. If yes, what topics are you comfortable presenting on?

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