SEMC gold grid making workshop Please Answer the Following Question Title * 1. Full Name *First Middle (if applicable) *Last Question Title * 2. Email Address: Question Title * 3. Phone Number (including country/area code) Question Title * 4. Mailing Address: Question Title * 5. Institution/Affiliation Albert Einstein (AECO) City University (CCNY) Columbia University (COLU) Memorial Sloan Kettering Cancer Center (MSKCC) Mount Sinai School of Medicine (MSSM) New York University (NYU) New York Structural Biology Center (NYSBC) Rockefeller University (RU) Wadsworth (WADS) Weil Cornell (WEIL) Other (please specify) Question Title * 6. Title Graduate Student Post Doc Professor/PI Other (please specify) Question Title * 7. If you are not the P.I., what is your P.I.'s name? Question Title * 8. Please enter a short statement on why you are attending this workshop. Done