OPSR Midwest Industry Tour Registration Form

Required Registration Documents

All documents below must be combined into one PDF document before being submitted below.

A brief statement (one-paragraph) describing your expected outcomes of the experience (i.e. learn about specific roles in regulatory affairs and/or digital agriculture)
A signed letter of approval from your advisor/PI indicating their support of your attendance on this tour
Applicant’s contact information

All of the documents must be submitted to Russell Ingram at Russell.ingram@corteva.com by 11:59pm CT on Friday, April 17, 2020.

REGISTRATION DEADLINE: April 17, 2020

Please upload your nomination file here (accepted formats: PDF). All fields are required.

Registrant Information:
Applicant Name:
Institution:
Name & Email of PI/Advisor:
Level of Study (i.e. Master's, PhD, Post Doc):
Dietary Restrictions:
Preferred roomate for hotel lodging during tour if known:
Expected Graduation Date:
How did you find out about the tour:
Use the browse button to find your file:

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Healthy Plants • Healthy World

The American Phytopathological Society (APS)

3285 Northwood Circle
Ste. 100
St. Paul, MN 55121 USA

Phone +1.651.454.7250

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