Member: Information Update Form Member: Information Update Form Step 1 of 2 50% EBRC Membership Status(Required) Individual Member Industry member Government Affiliate SPA Member 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. 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Primary Department or Program(Required)Please enter as "Department of...." Graduate Degree (whether in progress or completed)Ex. Chemical Engineering Name of PI or advisor(Required) Do you have tenure (or a similarly categorized position)?YesNoCareer Stage(Required)Early StageMid-StageLate StageCareer Stage(Required)Graduate StudentPostdocWhen 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 SchedulingPreferred days for monthly EBRC meetings Monday Tuesday Wednesday Thursday Friday 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 ProgramWould 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?YesNoWhich EBRC working groups are of interest to you? 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?YesNoWould you be interested in contributing to our repository of national fellowship applications?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 NameThis field is for validation purposes and should be left unchanged.