COURSE APPLICATION FORM

Core Techniques in Protein and Genetic Engineering

July 16-20, 2012

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Name
Address
City
State
ZIP/Postal Code
Country
Phone
Fax
E-mail

 

Please indicate the appropriate participant category for your application:
Student: would enroll through BTCI, i.e. no UW credits (course fee: $1,300)
Company / other organization employee: would enroll through the BTC Institute; i.e., no UW credits (course fee: $1,600)
University of Wisconsin-Madison student or special student: would enroll for UW-Madison credits (course fee: tuition paid to UW-Madison)

    

ADDITIONAL REQUIREMENTS:

  • As well as the course application form, a letter or interest, clarifying eligibility and professional need for course content must be submitted by May 10. This letter can be faxed, e-mailed or mailed to Dr. Karin Borgh.
  • Course enrollment is limited to 24 participants, with approval for enrollment to be granted by Dr. Karin Borgh, based upon review of application materials.


The BTC Institute will share your contact information with course sponsors, if so requested, unless you specifically advise us (BTC Institute) to keep that information confidential.