Workshops- Reserve a Seat (NIH Only)

Prefix *

Please specify *

Student Name *

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

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

Student Email Address *

Confirm Email Address *

Secondary Email Address *

For those signing up with a NIH or company email address we recommend providing a secondary email address you can always access from home or a non-work computer. Thank you.

Phone Number *

Course Number and Course Name *

Course Dates

Days

Registrant Type *

NIH Trainees (Fellows, Postbac, Postdoc, Grad Students working at the NIH campus)

NIH Community (Working, Assigned, or Appointed to the NIH Campus)

Academia, US Gov’t, US Military

General Rates - All Others

Tuition Amount *

Highest Degree Completed *

Please select appropriate classification *

How did you hear about us? *

If you answered "Other" in the previous question. Please tell us how.

Affiliation/Organization *

If you answered "Other" in the previous question. Please tell us the name of your organization.

Tuition Amount *

Please Acknowledge *

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

FAES reserves the right to cancel any course up to 3 business days prior to the course start date. Notifications will be emailed immediately upon cancellation and a tuition refund will be issued. FAES will make every effort to retain posted courses. We encourage the purchase of refundable travel reservations in the event that a course is cancelled. FAES operates on a government campus and follows Federal guidelines for closings due to inclement weather or other emergencies. Please watch for news broadcasts or visit the Office of Personnel Management website for closing announcements.

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. If you do not wish to be photographed please inform FAES.

I authorize the Foundation for Advanced Education in the Sciences (FAES) to share my name and email address that I provided during the registration with workshop instructors and their affiliations in order to receive email from them and/or to obtain software access.

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Workshops- Reserve a Seat (NIH Only)

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