Voices for Science 2022 Launch Workshop Form: Virtual attendees

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Name*
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Please share your preferred pronouns.*
- He/him
- She/her
- They/them
- Other
- Prefer not to say
If you answered "other", please share your pronouns here (optional).
Email*
Include a short biography of 100 words or less here.*
Upload a headshot of yourself.*
Accepted file types: jpg, png, Max. file size: 120 MB.
Please share the full name of your department head (or equivalent).*
First Last
Please share the email address of your department head (or equivalent).*
Note that we are asking for information regarding your department head (or equivalent) because we will be sending them a letter commending you for being part of this important program.
Photo Release*
By checking this box, I agree to the below.
During the events of the 2022 Voices for Science Launch Workshop, which will take place virtually and in Washington, DC on 6-8 April, the AGU may take photos and/or video for use in future: pamphlets, brochures, and informational booklets; at meetings, lectures, and workshops; in public presentations during meetings and other events; in promotional and educational videos; and on Web sites maintained by the AGU. I give the AGU permission to publish in print, electronic, or video format the likeness or image of myself. I release all claims against the AGU with respect to copyright ownership and publication including any claim for compensation related to use of the materials.