APPLICATION FOR ADVANCED GENE MAPPING/ LINKAGE COURSE  -  New York
 

Please fill out this page and submit it by e-mail to Katherine Montague (see below for address):
 

Your name: __________________________________________________

Affiliation:___________________________________________________

Address:          ________________________________________________

                  ___________________________________________________

                  ___________________________________________________

Tel. number:      _______________________________________________

FAX number:       ______________________ E-mail:_________________

Please enclose a copy of your curriculum vitae and a letter describing your experience with linkage analysis and/or statistical genetics.  If you are working on any studies or development of methods, please explain.  Please be sure to include how you think you will benefit from this course.  In addition, briefly explain your experience with computers (DOS, Unix, Internet, programming languages, no previous experience, etc.).

To take this course you should be familiar with Unix, a Unix editor (e.g. PICO, VI, JOE or EMACS) and the Internet. It is also extremely helpful to be familiar with the linkage file format.   If necessary, please make sure you acquire these skills before attending the course.
 

Date: __________________________
 

Please return application to:

Katherine Montague
Rockefeller University
1230 York Ave, Box 192
New York, NY 10021-6399
Fax (212) 327-7996
Tel. (212) 327-7979
e-mail: montagk@rockvax.rockefeller.edu

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OPTIONAL INFORMATION

This course is supported by the NIH.  They request that we provide the following information.  It is appreciated if you would supply us with this optional information.

Gender: ___Male __Female

Ethnic Background:  ___American Indian or Alaskan Native ___ Asian or Pacific Islander
                                ___Black, not of Hispanic Origin____Hispanic___White, not of Hispanic Origin

Primary Appointment:    ____Academics    ____Government    ____Industry

Degrees (check all that apply):    ___MD    ___Ph.D.    ___MS or MA    ___BS or BA    ___Other_________

Current Title:    ___Professor/Senior Researcher    ___Assoc Professor/Assoc.Researcher
                        ___Asst. Professor/Asst. Researcher    ___Postdoctoral Researcher    ___Doctoral Student
                        ___Other___________________