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MIC Image Contest Entry Form (Sponsored by Zeiss Microscopy)
Please fill out one form for every image you are submitting into the contest. Each person can submit up to 3 entries. For more information, please see the contest website.
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* Indicates required question
First and last name
*
Your answer
Email address
*
Your answer
Lab affiliation (if any)
Your answer
University Status (if applicable)
Undergraduate Student
Graduate Student
Post-doc
Staff
Professor
Other:
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Image - File Name
*
We recommend that your name be included as part of the file name, to help us identify images.
Your answer
On which MIC instrument was this image acquired?
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All entries must have been acquired on a MIC instrument to be eligible for prizes.
Your answer
Magnification of your image?
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Your answer
Please list all relevant acquisition settings.
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For example: DIC, polarized, confocal, widefield, 2-photon, Z-stack/projection, live-imaging, tiled image, super-resolution, etc.
Your answer
Please provide a short description of your image.
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Example: organism/model, legend for each channel (if applicable)
Your answer
Please provide any additional relevant information about your image, including scientific or technical significance.
Your answer
Would you be interested in purchasing a 2016 MIC Calendar for $5?
Your answer will not affect your chances; it will help us estimate how many calendars to order. Answering "Yes" does not obligate you into purchasing a calendar.
Yes
Yes, and I would buy more than one.
Maybe
No
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By checking this box, I give permission to the Molecular Imaging Center and Zeiss Microscopy to use my image in printed form and online, with proper attribution.
*
Your permission is required for each entry.
Yes, I agree.
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