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If you would like to become a coach in our GeniConnect research project and help middle school students learn genetics through the use of Geniverse, please complete the form below. If you are experienced in genetics and/or biotechnology as a scientist, an educator, a graduate student, a research associate or technician, we want to hear from you!

Question Title

* 1. Please provide us with your contact information.

Name *

Company *

Company Address

City/Town *

State *

ZIP

Email Address *

Phone Number

Question Title

* 2. Do you have experience working with middle school students?

Yes

If so, please describe.

Question Title

* 3. Please tell us why you would like to participate in our project!

Thank you for your interest in the GeniConnect research project. We will contact you soon with more details.

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