Biotechnology Training Courses at the National Institutes of Health
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Bio-Trac Fall 2008 Registration Form

TRAC
FEE
COURSE TITLE
Trac 1
$850
5 DAY
Trac 10
$850
5 DAY
Trac 15
$750
3 DAY
Trac 16
$750
3 DAY
Trac 18
$850
5 DAY
Trac 20
$750
3 DAY
Trac 23
$795
4 DAY
Flow Cytometry: Principles and Methods
Trac 24
$850
5 DAY
DNA Microarrays: Fabrication and Applications
Trac 25
$850
5 DAY
Proteomics: Principles and Methods
Trac 28
$850
4 DAY
Angiogenesis
Trac 30
$850
5 DAY
Small Interfering RNA (siRNA) and Functional Genomics
Trac 31
$750
3 DAY
Trac 35 $750 3 DAY Immunofluorescence & Confocal Microscopy
Trac 39 $850 4 DAY Epigenetics
Trac 40 $750 3 DAY Protein Bioinformatics

Contact Information
Name (first, middle initial, last )

Name of Institution, Government Agency or Company

Department, Building and Room Number

Street Address

City, State, Zip

Home Address - Street, City, State, Zip

email

SS# (last 4 digits)
Date of BirthDegree

PHONE (Evening)(Day)

Tuition

Tuition Enclosed $_________
Full tuition must accompany registration form.

Payment Type :
Check - payable to FAES
Training Form
Credit Card: VISA MasterCard

Card#
Exp. Date

Authorized Signature_____________________________


SEX:Male Female
(Required by the State and Federal Governments)

The FAES does not discriminate on the basis of race, color, religion, sex, age, handicap, national or ethnic origin or veteran status, in administration of its educational policies, admissions policies, scholarship programs, and other educational programs. FAES: 301-496-2316


Comprehensive Binder Included: Contains all notes, protocols, and reference material needed. No additional books are required. Academic Credit: Although no grades are given for BIO-TRAC courses, a registrant completing a lecture/laboratory course will earn two credits, or one credit if taking the lecture portion only. 3-day training courses also are one credit. Upon completion of each TRAC, a certificate is issued.

We currently do not take online payments

If Paying by Cedit Card
Fax Registration form along with credit card information to the FAES, Attn: Ms. Bea Sonnenberg (Bio-Trac Registrar) at 301-402-0174

If Paying by Government Training Authorization Form (SF-182)
Print out and mail registration form along with original training authorization form to:

Ms. Bea Sonnenberg
Bio-Trac Registrar
FAES/NIH
One Cloister Court
Bldg. 60, Rm 237
Bethesda, MD 20814-1460

Please note: We cannot accept SF-182 forms via fax.

Registration forms can also be hand delivered to building 60, room 237 on the NIH campus. Our hours of operation are 8:30 - 4:00 - Mon - Fri.

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Biotechnology Training Courses at the National Institutes of Health
Sponsored by the Foundation for Advanced Education in the Sciences