JUNIOR FACULTY CONSORTIUM
First Name*
 
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Last Name*
 
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Email*
 
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Current Institution*
 
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Current Title/position*
 
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Years in position*
 
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Street Address*
 
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City*
 
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Postal Code*
 
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Country*
 
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What year did you complete your PhD?*
 
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Institution Where You Completed Your PhD?*
 
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Are you on tenure-track?*
 
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Why do you want to participate to this Junior Faculty Workshop?*
 
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Your 3 most important publications?*
 
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Which impact are you planning to have in the next few years?*
 
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Please upload a professional photo for the participant directory to be added*
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