Trainer Application & Review Form
Please return completed form to Katherine Rankin McVey
413 Bock Labs, biophysics@bocklabs.wisc.edu, 252-3203
The Steering Committee of the Biophysics Program reviews trainers on the basis of funding, relevance of
research, record of graduate student training, and participation in Biophysics Program student training and
activities. If you have any questions regarding this review please contact Meyer Jackson, Program Chair, at 2629111 or mjackson@physiology.wisc.edu
Name:
Faculty rank /
Years as UW faculty
Department:
Campus Address:
Phone:
E-Mail
Lab web page URL:
Other Training Grant &
PhD program affiliations
ATTACH a CV or NIH FORMAT BIOSKETCH (including research funding).
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PLEASE PROViDE THE FOLLOWING INFORMATION
1. Primary field of research.
A. 3-5 word Research Description:
B. Briefly summarize your research interests in a short paragraph.
2. List any campus faculty with whom you have collaborated and the nature of this collaboration.
Faculty Member / Dept
Nature of collaboration
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3.
PARTICIPATION IN TRAINING GRADUATE STUDENTS and POSTDOCS
A. Please list ALL graduate students (including other programs) who have trained in your lab
for longer than a rotation in the last 5 years, and all students you have EVER had in the
Biophysics Program. Include students who left your lab with no degree.
Name
Graduate
Program
Training
Period
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Title of research project
Undergrad
Degree Year /
College
B. Please list all post docs who have trained in your lab in the past 5 years:
Name
Year of PhD /
Institution
Training
Period
Add rows as
needed
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Title of research project
Current
Position
C. List activities offered by you and your lab group that provide graduate training in biophysics.
D. List the Biophysics student thesis committees you have served on over the past 5 years
E. List all graduate Biophysics course(s) you teach in or participate in
Dept./Course #
Course name
Semester(s) Offered
Lectures or meetings/week
F. List publications of your graduate students from the past 5 years (BOLD the name of your
graduate student in each listing).
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4. PARTICIPATION IN BIOPHYSICS PROGRAM ADMINISTRATION
a. List any Biophysics committees you have served on over the past 5 years:
b. List other committees you have served on over the past 5 years that are directly related to
graduate training in biophysics:
c. List other Biophysics activities you have participated in (i.e., recruiting, orientation, etc.):
Activity / Date
d. List any diversity/minority recruiting activities on/off campus, not necessarily within
Biophyiscs (i.e., Summer Research Opportunities Program SROP, research presentations and/or
collaboration with a historically minority institution, attend conferences, etc.):
5. PARTICIPATION IN OTHER BIOPHYSICS PROGRAM ACTIVITIES
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