this application form

advertisement
Characterization of humoral and cellular immune responses
following mucosal vaccination
Lab course I: Mucosal vaccination strategies and immunomonitoring
05 – 09 October 2015
Personal details of applicant
Family name:
First name:
Title (Mr, Ms, Mrs, Dr, Prof):
Gender (male, female):
Organization details
Name of organization/institution/company:
Department:
Mailing address:
Street:
ZIP code:
City:
Country:
Contact details of applicant
Position in organization:
Tel:
Email:
Description of work and methods used
Please briefly describe your current research.
Please describe your current research methods and further methods of expertise.
Experience
Please define on a scale from 1 to 5 the degree of your experience/knowledge in the
following methods:
(1=no experience/knowledge, 5=expert)
Animal studies:
Vaccine development:
T cell subpopulations:
Cell proliferation assay:
CFSE-staining:
ELISA:
ELISPOT:
FACS:
Are you willing and able to conduct organ isolation on freshly killed mice? (yes/no)
Interest and personal goals in course
Please briefly describe your interest in taking part in this training course and what you
expect to get out of it.
The registration needs to be sent before 15 May to:
Dr. Thomas Ebensen
Tel: +49 531 6181 4607
Email: thomas.ebensen@helmholtz-hzi.de
Download