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Bio-Trac Junior Scientist Training Program 2012 Registration Form

TRAC
FEE
COURSE TITLE
Trac JSTP
$4,000
9 Month
 Junior Scientist Training Program

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 for this program. Academic Credit: Six graduate credits, a letter grade and a a certificate will be issued by the FAES upon completion of the program.

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.

Bio-Trac Refund Policy

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

2.  50% tuition refund is available for registrations canceled 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 other Bio-Trac programs. 

3.  No refund is available for registrations canceled 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. Bea Sonnenberg; 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.

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