The Postdoc Pivot Workshop
Name
First Name
Last Name
E-mail
example@example.edu
Phone Number
-
Area Code
Phone Number
Institution and Institution website
Job title at your institution
My role at the institution (select all that apply)
Administrator
Senior Leadership
Faculty
Student Services
Staff member
Student
Other
If other please specify here
I would like to request
Slides from workshop
More professional development opportunities
You to come to my institution and speak
Other
How has The Postdoc Pivot changed the way you think about your scientific identity, professional legacy, or next career step?
What is one specific action you plan to take as a result of this workshop?
In a few sentences, what was the most valuable part of The Postdoc Pivot, and what would you say to another postdoc considering this workshop?
May we use your response to Question 4 as a testimonial on our website, social media, or promotional materials?
Yes, with my name and professional affiliation
Yes, but anonymously
Yes, but please contact me before using it
No, please keep my response for evaluation purposes only
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