Molecular Engineering & Sciences Institute Membership Form

Please help us provide useful information to visitors of the MolES Institute web site by providing the following:

First Name*

Last Name*

Home Department*

Email*

MolES-related research interests for web site listing (100 words or less):

MolES-related education or curriculum interests:

Recent awards, publications, or news about you or your group:

Please tell us a bit about your interest in the Institute:

What interested you to become a member of the Institute?
Opportunities to network/connect across disciplinesAttend relevant seminarsAccess to interdisciplinary graduate studentsPotential space and matching grantsOpportunities for industry connectionsInterested in Molecular Analysis FacilitiesOther
Please specify:

How important to you is having a source of interdisciplinary graduate students as a complement to your home department?
Extremely importantVery importantImportantSomewhat importantNot at all important

What Institute-provided services would be helpful to you?
Help with group web siteLaboratory or group photosCV editingRegular summary of MolES faculty publicationsOther
Please specify:

Other comments or suggestions: