Biophysical Methods Boot Camp 2020 Reserve a Seat (NIH Only)

Prefix *

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Student Name *

How would you like your name to appear on your certificate? *

Examples: Jane Smith, Jane Smith M.D., Jane Smith PhD, etc.

Phone Number *

Student Email Address *

Confirm Email Address *

Conference Title *

Course Dates

Registrant Type *

Industry Participants (Pharmaceutical, Analytical and Commercial affiliate employees)

Industry Participants with Hotel Accommodations (Pharmaceutical, Analytical and Commercial affiliate employees)

Academic Participants (PI's, Professors, Staff Scientists, etc.)

Academic Participants with Hotel Accommodations (PI's, Professors, Staff Scientists, etc.)

Active Student Participants (Ph.D. Students, PostDocs, PostBacs, Fellows, IRTAs pending graduate or medical school)

Active Student Participants with Hotel Accommodations (Ph.D. Students, PostDocs, PostBacs, Fellows, IRTAs pending graduate or medical school)

Tuition Amount *

If you selected the “Hotel Accommodations” rate, please do not book a reservation at the Marriott Residence Inn. FAES will make a reservation on your behalf. A confirmation will be sent to you 7 to 10 days prior to the workshop. Please note that the hotel link is for informational purposes.
The “Accommodations” rate covers the nights of Sunday, May 3, 2020 through Thursday, May 7, 2020 (check-out on Friday, May 8, 2020).

Highest Degree Completed *

Please select appropriate classification *

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How did you hear about us? *

If you answered "Other", please specify how you heard about us. *

Affiliation/Organization *

If you answered "Other", please tell us the name of your organization *

Would you like to present a short talk or display a poster of your current research? *

Please select the book you would like to receive as part of your registration. *

Please Acknowledge *

Please confirm that you have read the following by marking each check box.

By registering for this workshop, I grant FAES full rights to use the images resulting from the photography/video filming and any reproductions or adaptations of the images for publicity or other purposes to help achieve the FAES’ goals. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.

I authorize FAES to share my name and email address, which I provided during registration, with workshop instructors and their affiliations in order to receive email from them and/or to obtain software access.

Biophysical Methods Boot Camp 2020 Reserve a Seat (NIH Only)

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