WM - 2025 Virtual Symposium registration stipend funding

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* 1. Please add your info here:

First name:

Last name:

Email address:

Academy #:

# of years as a WM member:

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* 2. Please check your Academy membership category.

Active

Student

Retired

International

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* 3. Are you currently registered for WM's 2025 Symposium?

Yes

No

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* 4. Did you attend last year's virtual symposium?

Yes

No

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* 5. Please include a brief statement here on your goals or expected outcomes for attending the virtual symposium. (up to 200 words)