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28th NCNR/CHRNS School on Neutron Scattering Application

OMB Control #: 0693-0081
Expiration Date: 12/31/2024

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Authority: The collection of this information is authorized under Public Law 107-347 E-Government Act of 2002 (FISMA included), Public Law 200-253 Computer Security Action of 1987, OMB Circular No. A-130, Appendix III, Security of Automated Information Resources Department of Commerce IT Security Program Policy, Department of Commerce Administrative Orders, NIST Administrative Manual Chapter 11.02, NIST IT Security Management Handbook, and Privacy Act 1974

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Instructions
This application form is for those who are planning to attend the 28th CHRNS School on "Methods and Applications of Small Angle Neutron Scattering and Neutron Reflectivity" which will be held at NIST from Monday, October 17 to Friday, October 21, 2022. Please fill in the information requested below. Mandatory fields are indicated by *.

Application Deadline: 23:59:59 PM EDT, August 29, 2022

Personal Information
* E-mail Address
Title
* Surname
* Given Name
* Street Address
* City
* State
* Zip
* Country
* Daytime Telephone
* Evening Telephone
Demographic Information (Responses to these questions are voluntary.)
What is your gender? You may skip this question if you prefer. Male   Female
Are you Hispanic or Latino? Yes   No
What is your race? (Select one or more) You may skip this question if you prefer.
Professional Information
* Institution
* Department
* Professional Status
If Other, please specify
If Student or Post-Doc or Other, please give the name of your Principal Advisor
If your Principal advisor is willing to review Student Instructional Beam Time proposals, please provide their email address
* Area of Research
If Other, please specify
Have previous neutron experience?* Yes   No
* Please select the technique you are primarily interested in.
* Briefly describe your research, and how neutron scattering is applicable to your project. Briefly describe why you want to attend the course, including what you want to learn from it. Include a summary statement that succinctly answers the question "Why should you be selected for the school?" (2000 characters max).
 
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Last modified 08/05/2022