AoU Minority Student Research Symposium

First name

Last name

Email

Address

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City

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Phone Number

Race/Ethnicity

If other, please specify

Age range

Occupation

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Education (highest level achieved)

University/Institution Affiliation (For example, NIH, name of institution) open field

DIVINE NINE GREEK AFFLIATION (Dropdown with one choice option)

MSRS AFFLIATION

What is your familiarity with the All of Us Research Program? (pull from student/mentor MSRS registration form)

Would you like more information about AoU?

Would you like more information about the Research Hub or Workbench?

Are you interested in participating in a future symposium?

In what capacity? (student, mentor, judge)

Are you interested in participating in a focus group about the MSRS?

What is the best way to contact you?

Register