You must complete this form in one sitting; you cannot save a portion and return to fill out the rest later. Please contact the workshop conveners if you have any questions.
(Please Note: We use your email address to track your application and participation in the workshop and to communicate with you. Be sure to use the same email address in all forms relating to your workshop participation.)
The following information will be reported only in aggregate.
I have read the Description of the Research Project and Implications for Participation (opens in a new window) or it was read to me. I know the possible risks and benefits. I know that being in this study is voluntary. I choose to be in this study. I know that I can withdraw at any time. I am at least 18 years of age and voluntarily grant permission for the described release and use of notes and comments regarding me in the workshop.
In confirming my participation in this project, I agree that my contributions to creative works that emerge from project activities (e.g., discussions on the email list, contributions to the web page, summaries of group discussion, etc.) may be used for development of future workshop materials, for scholarly reports, and other project products. Attribution for original contributions will be made whenever possible.
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