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* 1. Legal Full Name

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* 2. Preferred Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Permanent Physical Address

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* 6. International Airport Closest to Your Anticipated Summer Residence

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* 7. Date of Birth

Date

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* 8. I identify as (multiple choice)

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* 9. Ethnicity (multiple choice)

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* 10. College/University and Degree/Major

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* 11. Tentative Graduation Year

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* 12. Explain in three to five paragraphs why you should be selected to attend the 2025 NAYGN Continental Conference.

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* 13. Upload Your Resume

PDF, DOC, DOCX file types only.
Choose File

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* 14. Upload Your Professional Headshot

PNG, JPG, JPEG file types only.
Choose File

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* 15. Upload Your Industry Reference (Professor or Nuclear Industry Professional Name and Contact Information)

PDF, DOC, DOCX file types only.
Choose File

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* 16. By applying, you confirm that you:
  1. Are available to travel to Denver, Colorado, from June 22 to June 25, 2025.
  2. Are eligible to travel on airlines within the United States.
  3. Have a valid ID or passport (U.S. citizens) or a passport and necessary visa (non-U.S. citizens).

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