Workshops 2012

Silencing Genomes Workshops 2011

5-DAY WORKSHOP FOR BIOLOGY AND GENETICS EDUCATORS
Guide your students into the post-genomic era!

Funded by a grant from the National Science Foundation

Please select a workshop:

July 25-29, 2011 - Dolan DNA Learning Center, Cold Spring Harbor Laboratory, NY

This workshop is intended for college biology faculty, with an emphasis on those with some experience teaching biotechnology or molecular biology. Some exceptional high school faculty teaching advanced biology electives may be accepted, especially those partnered with two-year colleges. Selection will be determined using the information supplied by applicants. Selection of workshop participants is competitive and based upon the potential of a participant to apply what has been learned. This will be determined from the information supplied by applicants. A complete application requires only one step: to submit the data requested below.

Personal Data

First Name:

Last Name:

Preferred Phone^*:

Preferred Email^*:

^* To contact you with questions and/or notifications.

School / Institution / Organization:

School Type:

High School
2-yr. College
4-yr. College

Street Address:

Street Address (cont.):

City:

State:

Zip Code:

Work Phone 1:

Work Phone 2:

Work Fax:

Work Email:

Home Street Address:

Street Address (cont.):

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Home Email:

Please check your gender:

	Female
	Male

Please check the group that best describes your ethnical/racial status:

	American Indian or Alaskan Native
	Asian or Pacific Islander
	Black, not of Hispanic Origin
	Hispanic or Latino
	White, not of Hispanic Origin
	Do not wish to respond

Please check your age group:

	Under 20
	21-30
	31-40
	41-50
	51-60
	Over 60

Selection Criterion 1: Professional Qualifications and Teaching Experience

Academic degree(s) and major(s):

Additional training:

Total number of years teaching:

Courses taught in school in the last 5 years:

Selection Criterion 2: Implementation

Describe your interest in attending this workshop:

Describe how you intend to use this training to augment instruction at your school:

Selection Criterion 3: Travel and Accommodation Requirements

Do you require funding for travel and accommodations to attend this workshop?:

	Maybe
	No
	Yes

If you answered yes or maybe, please explain:

Additional Information(Does not affect selection)

How did you find out about this workshop?

DNALC email
DNALC direct mail
On the DNALC Internet site
At a convention or trade show
Link from an Internet site
Internet search
Word of mouth
During a visit to the DNALC in Cold Spring Harbor
Through a professional organization (such as Bio-Link)
Through a supply or equipment company (such as Carolina Biological Supply Company)
Other (please specify)

I have previously attended a DNALC or iPlant workshop:

No
Yes (Please specify year and title)

Will you bring a laptop with wireless capabilities to the workshop?

No
Yes

Additional comments