May 14, 2017 - Alliance for Global Health and Science. 2017 Alliance Summer Workshop- University of Zimbabwe. Applicant.
Alliance for Global Health and Science 2017 Alliance Summer Workshop- University of Zimbabwe Applicant Name: ___________________________________________________________________________________ Department: ______________________________
Address: _________________________________
Email: ___________________________________
Phone #: __________________________________
Are you a student?
No
Yes
If yes, what is your program of study? Master’s
PhD
Other: ________________
Are you pursuing a research project for your studies?
Yes
No
If yes, who is your advisor: __________________________________________________________________ Are you a faculty member?
Yes
No
If yes, please indicate your current position and department: _____________________________________ Please indicate the highest degree you hold and field of study: _____________________________________ Emergency Contact Name: ___________________________________
Address: _________________________________
Email: ___________________________________
Phone #: __________________________________
Workshop Choice Please rank your top three choices. You may only take one workshop per week. Week 1 July 24- July 28
Week 2 July 31- Aug 04
Bioinformatics
Tissue Culture
Scientific Grant Writing
Protein Purification
Recombineering: Making Gene Knockouts
Please return this cover page and your Curriculum Vitae as a single PDF to Anny Lin,
[email protected] by May 14, 2017.
Research Project Description (600 characters):
Personal Interest in Participating (600 characters):