Course Application Form--Emerging Techniques in Protein and Genetic Engineering

Course Application Form

Emerging Techniques in Protein and Genetic Engineering
July 27 - 31, 2009

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: $1,200)
	Company / other organization employee: would enroll through BTCI; i.e., no UW credits (course fee: $1,500)
	University of Wisconsin-Madison student or special student: would enroll for UW-Madison credits (course fee: tuition paid to UW-Madison) UW application process closed for 2008.

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 20 participants, with approval for enrollment to be granted by Dr. Karin Borgh, based upon review of application materials.

FOR MORE INFORMATION

Course description
Contact: Dr. Karin Borgh, Executive Director
BioPharmaceutical Technology Center Institute (BTCI)
5445 East Cheryl Parkway
Madison, Wisconsin, USA 53711
608-277-2508; FAX:608-273-6992
e-mail: karin.borgh@btci.org

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