SEMC Winter Course 2020 Application

Please Answer the Following:

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* 1. Full Name

*First/Given:

Middle (if Applicable):

*Last/Surname:

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* 2. Email Address

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* 3. Phone Number (including country/area code)

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* 4. Mailing Address:

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* 5. Institution/Affiliation

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* 6. Title

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* 7. If you are not the P.I., what is your P.I.'s name?

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* 8. Level of Experience

Novice

Intermediate

Advanced

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* 9. Have you previously attended the course? If so, when?

No

Yes

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* 10. Please indicate your level of interest in the SEMC Winter Course and availability. If there is low interest we will be holding the course every other year.

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* 11. Please provide a short statement/list of current research projects/interests.