CBE Questionnaire

For faculty, staff, & students

We want to hear from you!

We are continually updating information about former CBE students, staff, researchers, and faculty. This information may be used to meet information requests from funding sources.

Please submit current information for title, addresses, email and phone.

Name
Title
Work Address
Home Address
Gender
Email
Phone
What was your position at the CBE? (i.e. undergraduate, graduate, administrative staff, research staff, faculty, post doc)
What degree did you receive? (undergraduate, graduate, N/A, include the discipline)
Did you complete your degree through research performed at the CBE? If yes, what was the topic of your research?

Who was your mentor, PI, or supervisor?
After you left the CBE, did you go to industry, academia, government work or graduate school?
Would you like to be included on our emailing list for the CBE Newsletter? Yes/No

Please let us know about any professional accomplishments or awards you have received since leaving the CBE.


	Copyright © 2000-2008 Center for Biofilm Engineering. All rights reserved. Revised: June 24, 2008


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