The University of Alabama at Birmingham NIGMS-funded Short Course Application Form

advertisement
NIGMS-funded Short Course
Application Form
The University of Alabama at Birmingham
July 11 - 15, 2016
Welcome to the UAB’s Sixth and Last Annual Short Course on Statistical Genetics and Genomics application site. The course is jointly
sponsored by the National Institute of General Medical Sciences (NIGMS) and the Section on Statistical Genetics at UAB.
There are limited fellowships available for Graduate Students, Post-doctoral Fellows, and early Investigators who are US Citizens/Permanent
Residents or who are currently studying and/or working at an US Institution/NIH funded investigators.
To apply, please send following documents to statgenetics@uab.edu or wskipwit@uab.edu:
1. Complete this application form, Only fully completed application forms will be considered
2. Forward your current curriculum vitae
3. Letters of recommendation
4. Using a one-page proposal, describe why learning about Statistical Genomics and its methodology would help your current research
and/or influence your research career plans. Questions, contact Dr. Hemant Tiwari htiwari@uab.edu
5. For Fellowship, please read the details by clicking on the “Fellowship” tab
Attendance is limited. Please apply prior to Tuesday, 05/31/2016. Accepted applicants will be notified by Tuesday, 6/7/2016. Applicants
should arrange to pay the registration fee by Friday, June 24.
Women, members of underrepresented minority groups, and individuals with disabilities are strongly encouraged to apply.
Upon Acceptance, fee:
$600 - academic, government, and non-profit organizations
$2,500 - for-profit organizations
Acceptance includes course tuition, syllabus, and refreshment breaks. Fee will be payable upon acceptance into the course.
Personal Checks or Money Orders should be payable to University of Alabama at Birmingham. Cash will not be accepted.
Need more information, contact Wanda C Skipwith at 205.975.9193 or wskipwit@uab.edu.
Name
Degrees
Position
Institution
Address
City State Zip
Country
Phone
Fax
Email
Website
Description of disability accommodation(s) you may require.
Fellowship
Sex
Race/Ethnic
(All that apply)
Vegetarian
Yes
No
Male
Female
American Indian or Alaskan Native
Black/African American
Hispanic/Latino
Yes
Asian or Pacific Islander
White/European
Other (please specify)
No
Course Website: http://www.soph.uab.edu/ssg/nigmsstatgen/sixth
Refund and Cancellation Policy: An attendee substitution is allowed, but the notification must be made in writing by Friday, June 24, 2016
and emailed to wskipwit@uab.edu or it can be fax to 205.975.2541. Substitutions will not be granted after June 24. UAB reserves the right to
cancel this conference, in which case a full refund of your registration fee will be provided. We are unable to refund any travel costs (flight,
hotel, etc.) in the case of UABs cancellation. Recording and Photography Clause: UAB reserves exclusive rights to record (audio and video)
and/or photograph all conference proceedings for use in marketing materials, presentations and course content sales .
The University of Alabama at Birmingham
RPHB 414, 1720 2nd Avenue South
Birmingham AL 35294-0022
+01 205 975 9193
Download