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":""))},E=function(e,t){var a=typeof e[t],i=RegExp("^function|object$","i");return!!(i.test(a)&&e[t]||"unknown"===a)},$=function(e){for(var t=document.getElementsByName(e.name),a=0;t.length>a;a++)if(t[a].checked)return!0;return!1},{setup:r}}); </script> <!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1026"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body bgcolor="#E8EEF7" lang=EN-US link=blue vlink=purple style='tab-interval: .5in'> <div class=WordSection1> <div style='border:solid #0B61A4 1.0pt;mso-border-alt:solid #0B61A4 .75pt; padding:11.0pt 11.0pt 11.0pt 11.0pt;margin-top:6.0pt'> <div> <div> <h1 style='margin-top:0in;margin-right:-11.25pt;margin-bottom:11.25pt; margin-left:-11.25pt;background:#0B61A4'><span style='font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:white'>UN3500 On-line Departmental Registration <o:p></o:p></span></h1> <div style='margin-bottom:12.0pt'> <p class=MsoNormal style='background:#F7F7F7'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Please complete this online registration form in addition to registering through SSOL or the Registrar's Office. Please see the course website for more information.<o:p></o:p></span></p> </div> <div aria-hidden=true> <p class=MsoNormal style='background:#F7F7F7'><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:#C43B1D'>* Required<o:p></o:p></span></p> </div> </div> </div> <form action="https://docs.google.com/forms/d/1QRKXTVkZvTKg15GkQc-jmWbkYfrLjfjeSFBeQb3O9ds/formResponse" method=POST enctype="application/x-www-form-urlencoded" id=ss-form target="_self" onSubmit=""> <label class=ss-q-item-label for="entry_1638013277"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Your name </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <div style='margin-top:1.2pt;margin-bottom:3.0pt'> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Last, First<o:p></o:p></span></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.1638013277" id="entry_1638013277" dir=auto title="" aria-label="Your name Last, First " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_54697629"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span class=GramE><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'>Your</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> UNI </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.54697629" id="entry_54697629" dir=auto title="" aria-label="Your UNI " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_1807282241"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Email </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.1807282241" id="entry_1807282241" dir=auto title="" aria-label="Email " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_429298334"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>School </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.429298334" id="entry_429298334" dir=auto title="" aria-label="School " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_971644644"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Major </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.971644644" id="entry_971644644" dir=auto title="" aria-label="Major " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_1439649861"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Year of expected graduation </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.1439649861" id="entry_1439649861" dir=auto title="" aria-label="Year of expected graduation " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_491074131"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Sponsor's Name </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.491074131" id="entry_491074131" dir=auto title="" aria-label="Sponsor's Name " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_619498832"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Sponsor's Email </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.619498832" id="entry_619498832" dir=auto title="" aria-label="Sponsor's Email " aria-required=true required> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_450591975"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Sponsor's Department <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.450591975" id="entry_450591975" dir=auto title="" aria-label="Sponsor's Department "> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_1896901157"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>One line description of project or subject that lab works on: </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman"'> <label for="itemView.getDomIdToLabel()" aria-label="(Required field)"> </label> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><TEXTAREA ROWS="8" COLS="1" NAME="entry.1896901157" id="entry_1896901157" dir=auto aria-label="One line description of project or subject that lab works on: " aria-required=true required></TEXTAREA> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_1775690137"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Registration <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height: 15.6pt;mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family: "Courier New";color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.610578540" VALUE="Registering for Spring 2014" id="group_610578540_1" role=radio aria-label="Registering for Spring 2014"> </label> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Registering for Fall 2021</span></span><span style='font-size: 10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'> <o:p></o:p></span> </label> </p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.610578540" VALUE="Registering for Fall 2013" id="group_610578540_2" role=radio aria-label="Registering for Fall 2013"> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Registering for Spring 2022</span></span><span style='font-size: 10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'> <o:p></o:p></span> </label> </p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_512447052"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Sponsor <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height: 15.6pt;mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family: "Courier New";color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.2079612154" VALUE="My sponsor is on the approved list" id="group_2079612154_1" role=radio aria-label="My sponsor is on the approved list"> </label> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>My sponsor is on the approved list</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.2079612154" VALUE="My sponsor is NOT on the approved list" id="group_2079612154_2" role=radio aria-label="My sponsor is NOT on the approved list"> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>My sponsor is NOT on the approved list</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_819638152"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>I am registering for BIOL UN3500 for the </span></b><span class=ss-required-asterisk1><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman"'> *</span></b></span><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'> <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height: 15.6pt;mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family: "Courier New";color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.983687130" VALUE="First time" id="group_983687130_1" role=radio aria-label="First time" required aria-required=true> </label> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>First time</span></span><span style='font-size:10.0pt;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.983687130" VALUE="Second time - Previously registered for W3500 once" id="group_983687130_2" role=radio aria-label="Second time - Previously registered for W3500 once" required aria-required=true> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Second time - Previously registered for UN3500 once</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.983687130" VALUE="Third time - Previously registered for W3500 twice" id="group_983687130_3" role=radio aria-label="Third time - Previously registered for W3500 twice" required aria-required=true> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Third time - Previously registered for UN3500 twice</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.983687130" VALUE="Other - Previously registered for W3500 three times or more" id="group_983687130_4" role=radio aria-label="Other - Previously registered for W3500 three times or more" required="" aria-required=true> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Other - Previously registered for UN3500 three times or more</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_932125169"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Previous lab information <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height: 15.6pt;mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family: "Courier New";color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.805798047" VALUE="I did not participate in SURF or Amgen" id="group_805798047_1" role=radio aria-label="I did not participate in SURF or Amgen"> </label> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>I did not participate in SURF or Amgen</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.805798047" VALUE="Previously participated in SURF/Amgen program in the same lab " id="group_805798047_2" role=radio aria-label="Previously participated in SURF/Amgen program in the same lab "> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Previously participated in SURF/Amgen program in the same lab </span></span> </label> <span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><o:p></o:p></span></p> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height:15.6pt; mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family:"Courier New"; color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.805798047" VALUE="Previously participated in SURF/Amgen program in another lab. Enter lab name-" id="group_805798047_3" role=radio aria-label="Previously participated in SURF/Amgen program in another lab. Enter lab name-"> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Previously participated in SURF/Amgen program in another lab. Enter lab name-</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_1259089070"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div style='margin-top:1.2pt;margin-bottom:3.0pt'> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Enter previous lab here<o:p></o:p></span></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.1259089070" id="entry_1259089070" dir=auto title="" aria-label=" Enter previous lab here "> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_198813411"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Previous lab information <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height: 15.6pt;mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family: "Courier New";color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.408772330" VALUE="Previously worked in another lab, list lab head, department and institution. If multiple labs, list most important lab-" id="group_408772330_1" role=radio aria-label="Previously worked in another lab, list lab head, department and institution. If multiple labs, list most important lab-"> </label> <label> </span></span><span class=ss-choice-label><span style='font-size:10.0pt; font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:black'>Previously worked in another lab, list lab head, department and institution. If multiple labs, list most important lab-</span></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'> <o:p></o:p></span> </label> </p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_365205832"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div style='margin-top:1.2pt;margin-bottom:3.0pt'> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Enter previous lab here<o:p></o:p></span></p> </div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'><INPUT TYPE="text" NAME="entry.365205832" id="entry_365205832" dir=auto title="" aria-label=" Enter previous lab here "> </label> <o:p></o:p></span></p> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#C43B1D;display:none;mso-hide:all'>This is a required question<o:p></o:p></span></p> </div> </div> </div> </div> <label class=ss-q-item-label for="entry_1451828662"> <div role=listitem> <div style='margin-top:9.0pt;margin-bottom:9.0pt'> <div style='margin-bottom:.25in'> <div> <p class=MsoNormal style='margin-left:.5in;background:#F7F7F7'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:black'>Points <o:p></o:p></span></b></p> </div> <p class=MsoNormal style='margin-left:.5in;text-indent:-.25in;line-height: 15.6pt;mso-list:l0 level2 lfo1;tab-stops:list 1.0in;background:#F7F7F7'><![if !supportLists]><span style='font-size:10.0pt;font-family:"Courier New";mso-fareast-font-family: "Courier New";color:black'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span class=ss-choice-item-control><span style='font-size:10.0pt;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:black'><INPUT TYPE="radio" NAME="entry.275378316" VALUE="I am taking W3500 for 2 points (8 hrs or more per week in lab). 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