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![ImageProvider.jpg](/ImageProvider.aspx?imageIdKey=3ebcd51790fa4c45869bd8259b4a0eaf) |
Questionnaire on Participant’s Interests We hope that you can take a moment to complete this short questionnaire so we can best know your research interests. Please send email to Erica Lamar at elamar@bnl.gov if you have questions or need assistance completing this questionnaire.
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All required questions are marked with an asterisk (*).
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Please provide your contact information:*
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Institution:*
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Department:*
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Position:*
![1e2367f4daaf494abcf0dace668d6384](/ImageProvider.aspx?imageKey=1e2367f4daaf494abcf0dace668d6384) Faculty
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![1e2367f4daaf494abcf0dace668d6384](/ImageProvider.aspx?imageKey=1e2367f4daaf494abcf0dace668d6384) Research Staff
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![1e2367f4daaf494abcf0dace668d6384](/ImageProvider.aspx?imageKey=1e2367f4daaf494abcf0dace668d6384) Postdoc
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![1e2367f4daaf494abcf0dace668d6384](/ImageProvider.aspx?imageKey=1e2367f4daaf494abcf0dace668d6384) Student
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![1e2367f4daaf494abcf0dace668d6384](/ImageProvider.aspx?imageKey=1e2367f4daaf494abcf0dace668d6384) Other
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Required
Please specify Required
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Title / Role:*
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Research Interests:
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BNL Contact or Collaborator:
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Experiment or Program:
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Please provide any additional comments.
Optional |
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There are errors in the page. Please correct the errors before moving forward.
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