Biotechnology Training Courses at the National Institutes of Health
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Bio-Trac Fall 2014 Registration Form

TRAC
FEE
With DVD COURSE TITLE
Trac 1
$850
5 DAY
$990
Trac 4
$850
5 DAY
$990 Immunology: Principles and Methods
Trac 10
$850
5 DAY
$990
Trac 16
$750
3 DAY
$890
Trac 18
$850
5 DAY
$990
Trac 23
$795
4 DAY
$935 Flow Cytometry: Principles and Methods
Trac 24
$850
5 DAY
$990 DNA Microarrays: Fabrication and Applications
Trac 25
$850
5 DAY
$990 Proteomics: Principles and Methods
Trac 31
$850
5 DAY
$990
Trac 38
$750
3 DAY
$890 Digital Imaging
Trac 39 $850 4 DAY
$990
Epigenetics
Trac 40 $750 3 DAY
$890
Protein Bioinformatics
Trac 41 $750 3 DAY
$890
miRNA
Trac 45
$795 4 DAY
$935
Bioinformatic Analysis of Next Generation Sequencing Data
Trac 53 $750 3 DAY
$890
Super Resolution Microscopy
Trac 56 $850 5 DAY $990 RNA-Seq

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

Home Address - City, State, Zip



email

Date of Birth (DD/MM/YYYY)

Highest Degree



Phone Number (Evening, Daytime)



Tuition

Tuition Enclosed $_________
Full tuition must accompany registration form.

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

Card Number

Exp. Date

Name on the Card

Security Code on Back


Cardholder Information

Street Address

City, State, Zip

email

phonel

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: 301-594-8985


Comprehensive Binder Included: Contains all notes, protocols, and reference material needed. No additional books are required. Credits: Although no grades are given for Bio-Trac Courses, each participant will receive Continuing Education Units (CEUs) based on the number of contact hours. Upon completion of a 5-day program, each participant will reeive 3.5 CEUs. For 4 or 3-day workshops, 2.8 or 2.1 CEUs will be issued. Upon completion of each Bio-TRAC program, a certificate from FAES is issued.

Registration Information - FAES: 301-594-8985 (Ms. India James)
Workshop Information - 301-496-8290 (Mark Nardone)

We currently do not take online payments

If Paying by Cedit Card
Fax Registration form (301-402-0174) along with credit card information to the FAES office, Attn: Ms. India James

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

Ms. India James
Bio-Trac Registrar
National Institutes of Health
FAES Admin Office
10 Center Drive, Room 1N241 - MSC 1115
Bethesda, MD 20814-1460

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

Registration forms can also be hand delivered to building 10, room Room 1N241 on the NIH campus. Our hours of operation are 8:30 - 4:00 - Mon - Fri.

Bio-Trac Refund Policy

1.  100% tuition refund is available for registrations cancelled 14 or more days prior to the start of the workshop.

2.  50% tuition refund is available for registrations cancelled between 4 to 13 days prior to the start of the workshop. Instead of a partial refund, you may elect to take a full workshop credit, which can be applied to another Bio-Trac program of similar length. 

3.  No refund is available for registrations cancelled 3 days or less prior to the start of the workshop.  A full workshop credit will be available to you, which can be applied to another Bio-Trac program of similar length.

All cancellations must be received in writing via fax to the FAES office, Attn. Ms. India James; Bio-Trac Registrar 301-402-0174 during normal business hours (8:30 – 4:30 EST).  Those received after hours are time marked for the following day.

In the case of situation numbers 2 or 3, you must indicate whether you are opting for the full credit alternative at the time of written cancellation. In both cases, all payments will be processed by the start of the initial workshop.

Bio-Trac Workshop Cancellation Policy
Though unlikely, in the event that a Bio-Trac workshop is cancelled, you may be reimbursed for the cost incurred for changiing airline flights to attend a different workshop date. Bio-Trac will not refund non-refundable airline or hotel reservations. Cancellations may occur up to one week prior to the start of a workshop.

Bio-Trac DVD Orders
1. DVDs are only being made available for purchase to class participants

2. DVDs will be shipped within 10 days after the conclusion of the program.

3. All riights reserved, unlawful to duplicate or distribute to others.

4. FAES will accept payment via credit card or check, SF182 forms cannot be accepted for DVD purchase.

5. Please contact Mark Nardone at 301-496-8290 or nardonem@mail.nih.gov regarding any inquiries

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