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Membership Application

First Name
Last Name
Degree
College
Department
Mailpoint
Email
Phone
Fax
My research is in one or more of the following BITT research areas (check all that apply)
Drug Discovery
Diagnostics
Identification
Targeted Therapeutics
Active collaborations with the following faculty
Current membership in one of the following USF Centers:
Center for Molecular Discovery in Drug Design and Development (CMD5)
Center for Molecular Delivery
Advanced Biosensors Laboratory
Brief summary of your research including the multidisciplinary aspects of it (50-100 words)
I agree to participate in one or more of the following ways:
willing to give seminars
willing to participate in a retreat
willing to take a student
As a member of the center I agree to do one or more of the following:
Attend conferences
Present at retreat(s) or seminar(s)
Serve on a committee
IMPORTANT: Please email an NIH-style Biosketch or a Curriculum Vitae to bitt@bitt.usf.edu when you submit your application.
For verification purposes, please type BITT into the box below before submitting the form.
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Direct comments to bitt@bitt.usf.edu