"We Are Research" Photo Submission Form

Submitter's Name

Work Information

Home Information

Often scientists live and work in different congressional districts. This will help us identify who represents you both at home and at work.

Photo Information Description (Please include the name(s) of the people in the picture along with where they work and live and what a is their area of reseach:

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My Image is: GIF JPEG/JPG TIF/TIFF
Certification

I agree that I have the permission of those depicted to submit their name, image, and the name of their institution/lab for this contest for use by the American Society for Cell Biology (ASCB) on its website and in its efforts with the U.S. National Institutes of Health (NIH) and Congress to promote cell biology.

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