Scientific Writing Course Registration
Complete the form below with your contact information and funding information.  Space is limited.  The first 17 students or post-docs who submit complete registration materials will be considered.  
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First Name *
Last Name *
e-mail address *
I am a *
Program/Department *
Funding Source1 *
Students may divide the seminar cost between three (maximum) funding sources.  Department, mentor or other University funding sources must include Project ID, Department and PCBU.  Personal checks should be made payable to the University of Maryland, Baltimore.  Contact Celeste Gerhart at 6-6794 to pay by credit card.
Amount1 *
Project ID
Dept
PCBU
Funding Source2
Amount2
Project ID
Dept
PCBU
Funding Source3
Amount3
Project ID
Dept
PCBU
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