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\centerline{\large \bf CRA-W Distinguished Lecture Series (DLS)}

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\centerline{\bf \bf Lecturer and Panelists Evaluation}


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Thank you for participating in the CRA-W Distinguished Lecture Series.
We are always trying to improve the program and would very 
much value your input.  Please feel free to attach any additional
information you feel would be beneficial.  
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\begin{enumerate}
\item
Your name \anslong and affiliation \anslong.
\item
Name of the institution where the event was held \anslong.
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Your role: 
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Lecturer
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Industry panelist
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Academic panelist
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Student panelist 
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\item
Was the event well organized?  Do you have suggestions on improving
the organization.

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\item
Did the event meet your own expectations?  

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\item
Would you be willing to participate in a DLS event in the future?
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\item
Any additional comments or suggestions for improving the program?

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\hfill {\em Thanks for your input! }


\end{enumerate}



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