Word - University of Alabama at Birmingham

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NIGMS-funded Short Course
Application Form
July 27 - 31, 2015
UAB, Birmingham AL
Welcome to the 5th 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 travel 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 a US Institution.
To apply, please perform the following tasks either via our website or sending materials to 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 (minimum of two)
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 Travel Fellowship, please read the details by clicking on the “Travel Award” tab.
Attendance is limited. Please apply prior to Friday, 6/12/2015. Accepted applicants will be notified by Friday, 6/19/2015
and applicants should make arrangements for registration fee by Wednesday, July 1.
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
Degree
Position
Institution
Address
City State Zip
Country
Phone
Fax
Email
Website
Description of disability accommodation(s) you may require.
Travel
Award
Yes
Sex
Race/Ethnic
(All that apply)
No
Male
Female
American Indian or
Alaskan Native
Black/African American
Hispanic/Latino
Vegetarian
Asian or Pacific
Islander
White/European
Other (please specify)
Yes
No
Course Website: http://www.soph.uab.edu/ssg/nigmsstatgen/fifth
Refund and Cancellation Policy: Attendee substitutions are allowed, but notification must be made in writing by Friday, June 26, 2015 and
sent to wskipwit@uab.edu or by fax at 205.975.2541. After this date no substitutions will be granted. 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
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