Member: Information Update Form

Member: Information Update Form

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• EBRC Membership Status(Required)
  • SPA Member
  • Individual Member
  • Industry member
  • Government Affiliate

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• Primary Email Address(Required)
• Institutional Email Address(Required)
• Is your primary email associated with a Google account?(Required)
  • Yes
  • No
  • I don't know
• Please provide a Google account linked email address
  EBRC uses Google Suite applications for many of our projects and programs.
• First Name(Required)
  As used in publications, will be displayed on site.
• Last Name(Required)
• If different: Name you prefer to be called
  As you use on a name badge
• Career Stage(Required)
  If you are a postdoc in industry and are unsure whether the company you work for is an EBRC institutional member, please navigate to the Members tab above.
  Graduate StudentPostdoc at academic institution, government lab, or non-profit organizationPostdoc at an EBRC institutional member organizationPostdoc at non-EBRC institutional member organizationOther (please explain)
• Location(Required)
  City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
• Time Zone
  Ex: US Pacific Time Zone
• Phone
  Include area code and country code if outside the U.S.
• Are you the primary contact with EBRC for your Company/Institution?(Required)
  YesNo
• Professional Title(Required)
• Company/Institution(Required)
• Agency/Institution(Required)
• Website
• Research Institution(Required)
• Primary Department(Required)
  Please enter as "Department of...."
• Hidden
  Primary Department or Program(Required)
  Please enter as "Department of...."
• Hidden
  Graduate Degree (whether in progress or completed)
  Ex. Chemical Engineering
• Hidden
  Name of PI or advisor(Required)
• Do you have tenure (or a similarly categorized position)?
  YesNo
• Career Stage(Required)
  Early StageMid-StageLate Stage
• If other, please specify

• SPA Alumni

  Based on your selection, you are no longer eligible to be a member of the Student and Postdoc Association. If you believe this is incorrect, please contact spa-board@ebrc.org.
• Would you like to remain on the SPA Slack workspace in SPA alumni status?
  SPA alumni maintain full access to the SPA Slack workspace but are unable to participate in SPA programs.
  YesNo
• When did you start your grad program/postdoc?(Required)
  (approx.)
• Year graduate degree recieved
  (expected or completed)
• Year you joined EBRC SPA
  (approx.)
• Company Website
• Lab Website
• EBRC Slack Handle
• Twitter Handle
• Personal Twitter Handle
• LinkedIn Profile URL
• Short Bio
  250 words or less
• Add 2-5 of your most recent publications
  Ex: Author, A. A., & Author, B. B. (Date of publication). Title of article. Title of Journal, volume number, page range. doi:0000000/000000000000.
• My expertise most aligns with:
  (select any/all that apply)
  • Gene Editing, Synthesis, and Assembly
  • Biomolecule, Pathway, and Circuit Engineering
  • Host and Consortia Engineering
  • Data Integration, Modeling, and Automation
  • Industrial Biotechnology
  • Food & Agriculture
  • Environmental Biotechnology
  • Health and Medicine
  • Energy
  • Bioethics
  • Biosecurity
  • Policy
  • Education/Workforce Development
  • Diversity, Equity, and Inclusion
  • Climate
  • Other
• Year you joined EBRC
  (approx.)
• Are you a current or former member of the EBRC Council?
  YesNo
• Working groups of which you are a current and active member
  • Security
  • Education
  • Policy and International Engagement
  • Roadmapping
• Working groups you would be interested in joining in the next 3 months
  • Security
  • Education
  • Policy and International Engagement
  • Roadmapping
• Hidden

  SPA Programs

  For each SPA program below, please indicate your level of engagement
• Hidden
  Internship Program
  • Haven’t heard of it
  • Heard of it, have not participated
  • Participated
  • Led/administered
• Hidden
  Mentorship Program
  • Haven’t heard of it
  • Heard of it, have not participated
  • Participated
  • Led/administered
• Hidden
  Panels (virtual or at annual meeting)
  • Haven’t heard of them
  • Heard of them, have not participated/attended
  • Participated/attended
  • Led/administered
• Hidden
  Workshops (virtual or at annual meeting)
  • Haven’t heard of them
  • Heard of them, have not participated/attended
  • Participated/attended
  • Led/administered
• Hidden
  Undergrad/high school outreach programs (eg SPA-OPS)
  • Haven’t heard of them
  • Heard of them, have not participated
  • Participated
  • Led/administered
• Hidden
  SPA Quarterly Socials
  • Haven’t heard of them
  • Heard of them, have not attended
  • Attended
  • Led/administered
• Hidden
  SPA Podcast
  • Haven’t heard of it
  • Heard of it, have not listened
  • Listened
  • Led/administered
• Hidden

  SPA Programs - Continued Engagement

  How important have the following been in keeping you engaged with SPA?
• Hidden
  Professional Development Programs
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  Networking Opportunities
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  Outreach Opportunities
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  SPA Slack
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  SPA Socials
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  SPA/EBRC media (including Tweets, Podcasts, & YouTube videos)
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  EBRC Annual Meeting
  • Not important
  • Somewhat Important
  • Important
  • Very Important
• Hidden
  Do you have any ideas for programs to increase the diversity, equity, inclusion, and accessibility of EBRC/SPA?
  YesNo
• Hidden
  If so, are you willing to be contacted to discuss more?
  YesNo
• Hidden
  Do you have any additional thoughts or feedback to share with the SPA Board?

• Scheduling

• Hidden
  Preferred days for monthly EBRC meetings
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
• Hidden
  Preferred time of day for EBRC meetings and events
  • Early Morning
  • Morning
  • Midday
  • Early Afternoon
  • Late Afternoon
• Preferred month for EBRC Annual Meeting
  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

• Internship and Mentorship Programs

• Would your organization be interested in participating in the EBRC Internship program as a host?
  YesNoMaybe
• Would you personally be interested in participating in the EBRC Mentorship program as a mentor?
  YesNoMaybe
• Are you a current or former member of the SPA board?
  YesNo
• Are you interested in any of the EBRC working groups?
  • Security
  • Education
  • Policy and International Engagement
  • Roadmapping
• Are you interested in participating in EBRC’s Mentorship Program as a future mentee (to be mentored by a career scientist or professional)?
  YesNo
• Are you interested in participating in EBRC’s Internship Program as a future intern?
  YesNo
• Would you be interested in participating in a mentorship program for undergraduates or high school students?
  YesNo

• Demographics

  EBRC is committed to increasing diversity and representation in engineering biology. Your response to the following questions will assist us in creating an organization that fosters broad engagement and participation. Responses are optional.
• Gender Self-Identification
  • Female
  • Male
  • Nonbinary
  • Prefer not to disclose
  • Not listed
  • Other
• Which category best describes your race? (One or more categories may be marked)
  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
  • Unavailable / Unknown
  • Decline to specify
  • Other
• Which category best describes your ethnicity?
  For definitions, please see: https://www.opm.gov/forms/pdf_fill/sf181.pdf
  • Hispanic or Latino
  • Not Hispanic or Latino
• Are you or have you been affiliated with any of the following engineering societies?
  • National Society of Black Engineers (NSBE)
  • Society of Women Engineers (SWE)
  • Society of Hispanic Professional Engineers (SHPE)
  • Society of Asian Scientists and Engineers (SASE)
  • Society of Biological Engineering (SBE)
  • Q GRAD/OSTEM
  • None
  • Other
• If other, please specify
• Are you or have you been affiliated with any of the following engineering biology organizations or teams?
  • International Genetically Engineered Machine (iGEM)
  • International Directed Evolution Competition (iDEC)
  • Global Open Genetic Engineering Competition (GOGEC)
  • None
  • Other
• If other, please specify
• Name
  This field is for validation purposes and should be left unchanged.

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