Apply for EBRC Individual Membership EBRC welcomes applications for membership from individuals who have begun their independent research career and hold PI-level status at an academic or non-profit research institution in the United States. They will generally have published work that contributes to the field of synthetic biology and be in good standing within the community (e.g. no ethical, biosafety, harassment, intellectual property concerns, scientific misconduct, or other issues of this nature).Profile InformationThe following information will be used to create your EBRC Profile/Member Directory Listing. Primary Email Address* Is your email address associated with a Google Account?EBRC regularly uses the Google platform for document and file sharing. Yes No I don't know. First Name*As used in publications, will be displayed on site. Last Name* If different: Name you prefer to be calledAs you use on a name badge Professional Title* Research Institution* Country*United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweState*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificPrimary DepartmentPlease enter as "Department of...." Phone*Include area code, and country code if outside the U.S. Phone Type* Office Cell Home Twitter Handle Lab Website Short BioProfessional PortraitFor best results, upload a square image minimum 600x600 pixels. Otherwise, photo will be automatically cropped and resized.Accepted file types: jpg, jpeg, png, gif.Application QuestionsThese questions are for our Membership Committee and/or Internal-Use only.Do you currently have independent (full) Principal Investigator status at your institution?* Yes No One of the criteria for EBRC membership is that you are actively publishing work that contributes to the field of synthetic biology. Please list one representative publication that demonstrates your efforts in this area.* Why do you want to join EBRC?*Which focus areas are you interested in?Select all that apply. Research Roadmapping Security & Synthetic Biology Policy & International Engagement Synthetic Biology Education In what year did you start your first independent position?* Do you currently have tenure (or a similarly categorized position)?* Yes No Please upload a copy of your most up-to-date CV.Accepted file types: pdf, doc, docx, Max. file size: 2 MB.DemographicsEBRC collects demographic information to better understand the diversity of nominees and members. All questions are optional and play no role in membership decisions.Gender self-identificationPlease selectMaleFemaleNon-binary / third genderPrefer not to sayWhich categories best describe your race? (select all that apply)For definitions of the following categories, please see: https://www.opm.gov/forms/pdf_fill/sf181.pdf American Indian/Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Decline to specify Unknown/unavailable Which category best describes your ethnicity?For definitions, please see: https://www.opm.gov/forms/pdf_fill/sf181.pdfPlease selectHispanic or LatinoNot Hispanic or LatinoEmailThis field is for validation purposes and should be left unchanged.