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Application Form

Summer School on Modern Methods in Biostatistics and Epidemiology

5 – 18 June 2016

Personal details

Family name:

First name:

Sex: ☐ Male ☐ Female ☐ Other

Date of birth (year/month/day):

Nationality:

Are you currently student at a University? ☐ Yes ☐ No

Company/Organization:

Full address for correspondence (including name, street address, city, postal code and country):

Full address for invoice, if not same as above (including name, street address, city, postal code and country; as well as reference number, if needed):

Telephone: +

Mobile phone: +

E-mail:

Course selection

Students can choose between attending one or two weeks. For the first week one course can be chosen from blocks 1 and 2, OR from block 3. For the second week one course can be chosen from blocks 4 and 5, OR from block 6 OR from block 7.

WEEK 1 (June 6 – 11*)

BLOCK 1 (8:30 – 10:30 Lecture; 14:00-15:30 Lab session)

☐ Biostatistics I

☐ Applied Linear Regression

BLOCK 2 (11:00 – 13:00 Lecture; 16:00 – 17:30 Lab session)

☐ Epidemiology I

☐ Applied Logistic Regression

Be aware of overlapping courses: Select course in Block 3 only if you have not selected courses from blocks 1 and 2

BLOCK 3 (8:30 – 17:30)

☐ Statistical Methods for Population Based Cancer Survival Analysis

WEEK 2 (June 13 – 18*)

BLOCK 4 (8:30 – 10:30 Lecture; 14:00-15:30 Lab session)

☐ Epidemiology II

☐ Applied Longitudinal Analysis

BLOCK 5 (11:00 – 13:00 Lecture; 16:00 – 17:30 Lab session)

☐ Biostatistics II

☐ Survival Analysis

Be aware of overlapping courses: Select course in Block 6 only if you have not selected courses from blocks 4 and 5 or 7

BLOCK 6 (8:30 – 17:30)

☐ Monitoring and Evaluation of Public Health Programs

Be aware of overlapping courses: Select course in Block 7 only if you have not selected courses from blocks 4 and 5 or 6

BLOCK 7 (8:30 – 17:30)

☐ Effectiveness Research with Longitudinal Healthcare Databases

* Notice that courses will end on Saturday morning, and no lab/group sessions are given on

Saturday afternoon (11 th and 18 th of June).

The Sunday Stata® courses are extra courses and they are independent of courses from other blocks. The student may choose one course for each week.

Stata® courses 1 (June 5)

☐ Basics of Stata®

☐ Data Visualization with Stata®

☐ Survival Analysis with Competing Risks with Stata®

☐ Joint Models for Longitudinal and Survival Data with Stata®

Stata® courses 2 (June 12)

☐ Tables for Epidemiologists Using Stata®

☐ Meta-analysis with Stata®

☐ Analysis of Prospective Studies with Stata®

☐ Multiple Imputation Using Stata®

Good communication skills in English are a prerequisite for satisfactory participation in all courses. Please specify your English proficiency

Understanding: ☐ good ☐ intermediate ☐ basic

Spoken: ☐ good ☐ intermediate ☐ basic

Application procedure

Please ensure you include the following information when you submit your application:

Application form

Short Curriculum Vitae (CV), max. 2 pages

 If you are a student, a certificate from the School in which you are registered

 Accommodation application form

To submit your application please email it to:

bioepiedu@ki.se

You will be notified about your admission status to the School promptly after your application form is received. You will also receive a reply form from the course administrator, with payment instructions and other important course details. Please do not make any travel arrangement or any payments until your application has been accepted.

Upon acceptance of the application, you will be asked to pay a deposit fee of 200 € in order to hold your place in the course. The deposit fee will be deducted upon the full payment of the course fee.

Tuition Fee

The tuition fee includes only the course fee, meals and accommodation are paid separately. The final deadline for registration is 31 st of May 2016.

Course fees depend on whether the applicant is currently a student at an accredited university, and on the timing of enrollment, according to the table below.

Registration before 14 th of February 2016 Registration after 14 th of February 2016

Student

1 week 1200 €

2 weeks 2200 €

General

1350 €

2500 €

Student

1400 €

2500 €

General

1550 €

2800 €

Standard fee for attending each Stata® course is 400 €. Students attending Summer School courses during the week pay a discounted rate of 250 € per Stata® course.

Returning students (students who have participated in the Summer School on a previous year) have a 10% discount on the tuition fee. Please indicate if you have participated in the Summer

School: ☐ Yes, year:

Scholarships

A limited number of (tuition only) scholarships are available. Students enrolled in a degree program in a non-European country may apply. Deadline for application is 31 st of January, 2016.

Note that the scholarship covers the tuition fee but no other expenses, such as accommodation or travel. Students applying the scholarship should have other funds to cover such costs.

Please indicate if you are interested in being considered for a scholarship, and make sure to attach a certificate from the University where you are currently registered:

☐ Yes, I am enrolled in a degree program in a non-European country and would like to be considered for a scholarship

Accommodation

Please ensure that you have completed the “Hotel accommodation form” available at the application page of www.biostatepi.org

and email it together with your application.

We recommend staying at the Hotel CastelBrando, which is also the course venue. However, students may book other accommodation, but should always book at least half board at the castle (see “ D. FOOD & BEVERAGE SERVICES (WITHOUT STAY) ” in the accommodation form).

Accommodation is in a double room and costs 105€ - 115€ per day, including full board. A small number of single rooms can be booked at an extra charge on a first-come first-served basis.

Please read carefully the hotel accommodation form and fill it in according to your preferences.

That form contains important information regarding lodging expenses.

Visa

Participants are responsible for obtaining a visa to Italy, if necessary. The School urges applicants to contact the course administration as early as possible, if they require an invitation letter.

Cancellation Policy

A cancellation arriving to the Summer School administrator before 15 th of May 2016 will entitle the applicant to a full refund of the tuition. A cancellation arriving after this time, but still before the start of the course, will entitle the applicant to receive a 50% refund of the tuition. In both cases the deposit fee (200 €) will not be refundable. In all other cases (including no-shows, premature departure) the tuition will not be reimbursed. Cancellation must be made in writing.

In the unlikely event that a course(s) needs to be canceled, the School will make this decision as early as possible and will notify the students. In no event will the School be responsible for costs incurred by canceled travel reservations.

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