This form can be used to submit information about exiting research group members. Name of Fellow * Name of Exiting Group Member (Alumnus) * Group Position Postdoc, Graduate Student, etc. Email Address (if known) Current Job Type Academic Government Private Other... Current Job Type Other... Research Affiliated? Yes No Type of Research? Additional Information Image Upload Please upload an image of the group member in jpg, gif, or png format. (Max upload size = 2MB)Files must be less than 2 MB.Allowed file types: gif jpg png. Leave this field blank
