RSVP Form: Networking Session - Perspectives in STEM Seminar

Perspectives in STEM Seminar - Networking Session

Event Date: June 3, 2025
Location: San Diego State University
Networking Reception | 3:30 PM

1. Basic Information *This question is required.

First Name

Last Name

Title

Institution or Organization

Email Address

Phone Number

URL

2. Current Role (select one): *This question is required.

Please enter an 'other' value for this selection.

3. Brief Bio (2–3 sentences): This will be included in the online networking program.
Example: "PhD candidate at UC San Diego researching neurogenetics. Passionate about bridging the gap between clinical research and biotech innovation." *This question is required.

4. Please upload a photo/headshot. *This question is required.

File: {{filename}} delete

5. What areas of collaboration or interest would you like to explore at this event?
Please list specific areas (e.g., grant partnerships, AI in drug discovery, mentoring programs, internships, regulatory science, etc.)
Example: “Biotech commercialization, startup incubation, clinical data ethics.” *This question is required.

6. Do you give permission for your name, bio, and interests to be included in a digital event program (accessible via QR code)? *This question is required.

Final Note to Attendees: Thank you! Your answers will help us build an interactive event directory to encourage connections during the reception. A QR code will be available at the event to browse attendee profiles and identify mutual interests.