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Name: _______________________ Address: ______________________________
City: _________________State: __ Zip: _______ Phone: ________________
Email: ___________________________________
Current University/College attending: _______________________________
Currently enrolled as: Undergraduate _____ Masters _____ Ph.D. _____
When do you expect to Graduate? __________________
Have you ever attended a meeting of the American Fisheries Society (AFS)? Yes ___ No ___ What meeting(s) have you attended?
Describe any past involvement that you have had with AFS:
Describe any other professional and educational activities that you have been involved with:
Why do you want to attend the Annual Meeting of the Florida Chapter, AFS?
Are you willing to work at the meeting? Yes ___ No ___
Student Signature __________________________ Date _________________
Return completed application to: (Deadline: 15 January 2002)
Dr. Chuck Cichra FAX: 352/392-3672
University of Florida Email: FISH@GNV.IFAS.UFL.EDU
Dept. Fisheries & Aquatic Sciences Phone: (352)392-9617 ext 249
7922 NW 71st Street
Gainesville, Florida 32653-3071
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