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Chicago Sim Consortium - Application to Join Committee

1. Contact Information

First name
Last name
Title
Institution
Telephone
Fax
Email
Address

2. Please check which committee(s) you would like to join:

Collaborative Research
Professional Development
Shared Resources

3. Briefly describe your interest in this committee.

4. Are you available to meet once per month for one hour?

Please enter an 'other' value for this selection.

5. Are you able to contribute time each month to the committee beyond the monthly meetings?

Please enter an 'other' value for this selection.