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* 1. Name (as you want it to appear online)

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* 2. Email Address

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* 3. Title/Position

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* 4. Employer/Organization Name

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* 5. Which one of these best describes your employer?

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* 6. Which best describes your career stage?

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* 7. How often do you want to blog for ASM?

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* 8. Would you be willing to take assigned topics? 

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* 9. Do you want to write career topics for students and postdocs OR education topics for faculty?

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* 10. Please submit a 2-3 sentence biography to be used in the "About Blogger" section.

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