Member: Information Update Form Member: Information Update Form Step 1 of 2 50% EBRC Membership Status(Required) SPA Member Individual Member Industry member Government Affiliate 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 addressEBRC 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 calledAs 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 ZoneEx: US Pacific Time Zone PhoneInclude area code and country code if outside the U.S. Are you the primary contact with EBRC for your Company/Institution?(Required)YesNoProfessional Title(Required) Company/Institution(Required) Agency/Institution(Required) Website Research Institution(Required) Primary Department(Required)Please enter as "Department of...." HiddenPrimary Department or Program(Required)Please enter as "Department of...." HiddenGraduate Degree (whether in progress or completed)Ex. Chemical Engineering HiddenName of PI or advisor(Required) Do you have tenure (or a similarly categorized position)?YesNoCareer Stage(Required)Early StageMid-StageLate StageIf other, please specify SPA AlumniBased 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.YesNoWhen 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 Bio250 words or lessAdd 2-5 of your most recent publicationsEx: 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?YesNoWorking 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 HiddenSPA ProgramsFor each SPA program below, please indicate your level of engagementHiddenInternship Program Haven’t heard of it Heard of it, have not participated Participated Led/administered HiddenMentorship Program Haven’t heard of it Heard of it, have not participated Participated Led/administered HiddenPanels (virtual or at annual meeting) Haven’t heard of them Heard of them, have not participated/attended Participated/attended Led/administered HiddenWorkshops (virtual or at annual meeting) Haven’t heard of them Heard of them, have not participated/attended Participated/attended Led/administered HiddenUndergrad/high school outreach programs (eg SPA-OPS) Haven’t heard of them Heard of them, have not participated Participated Led/administered HiddenSPA Quarterly Socials Haven’t heard of them Heard of them, have not attended Attended Led/administered HiddenSPA Podcast Haven’t heard of it Heard of it, have not listened Listened Led/administered HiddenSPA Programs - Continued EngagementHow important have the following been in keeping you engaged with SPA?HiddenProfessional Development Programs Not important Somewhat Important Important Very Important HiddenNetworking Opportunities Not important Somewhat Important Important Very Important HiddenOutreach Opportunities Not important Somewhat Important Important Very Important HiddenSPA Slack Not important Somewhat Important Important Very Important HiddenSPA Socials Not important Somewhat Important Important Very Important HiddenSPA/EBRC media (including Tweets, Podcasts, & YouTube videos) Not important Somewhat Important Important Very Important HiddenEBRC Annual Meeting Not important Somewhat Important Important Very Important HiddenDo you have any ideas for programs to increase the diversity, equity, inclusion, and accessibility of EBRC/SPA?YesNoHiddenIf so, are you willing to be contacted to discuss more?YesNoHiddenDo you have any additional thoughts or feedback to share with the SPA Board?SchedulingHiddenPreferred days for monthly EBRC meetings Monday Tuesday Wednesday Thursday Friday HiddenPreferred 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 ProgramsWould your organization be interested in participating in the EBRC Internship program as a host?YesNoMaybeWould you personally be interested in participating in the EBRC Mentorship program as a mentor?YesNoMaybeAre you a current or former member of the SPA board?YesNoAre 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)?YesNoAre you interested in participating in EBRC’s Internship Program as a future intern?YesNoWould you be interested in participating in a mentorship program for undergraduates or high school students?YesNoDemographicsEBRC 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 PhoneThis field is for validation purposes and should be left unchanged.