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2016 July Computational Biology Summer Camp Registration
Date: July 11 - 15, 2016 (Mon-Fri)
Time: 9 am - 4:30 pm
Place: University of Michigan
Questions? Please contact Jeehan Lee at
JH1440@mircore.org
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Student Information
First Name
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Last Name
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Emails (Google drive compatible one; multiple ones separated by comma)
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Your answer
Address
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City
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Your answer
State
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Your answer
Zip
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Your answer
Telephone
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School
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Your answer
Grade in Fall 2016
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9
10
11
12
Other:
Can bring a laptop
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Yes, I can
No, I cannot
Gender
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Male
Female
T-shirt (adult sizes)
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Small
Medium
Large
miRcore premium membership?
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Yes (application:
http://www.mircore.org/microgrants/membership/
)
No
GIDAS member?
Yes
No
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Parent/Guardian Information
Names of Parents (separated by a comma)
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Your answer
Telephone numbers (separated by a comma)
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Your answer
Emails of parents (separated by a comma)
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Your answer
Consent to be photographed
Students' photographs may be taken during the camp for miRcore's activity record.
Parent: I consent to release these photographs for GIDAS-related activities (typing a name will be used as a signature).
Your answer
Student: I consent to release these photographs for GIDAS-related activities (your typed name will be used as a signature).
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Student Essay
Please write a paragraph or two on why you chose this camp and what you expect to learn from it.
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