Amgen Biotech Experience Summer 2018 Workshop
Please complete this form to register for the ABE Summer 2018 workshop, June 18-21, 2018
Last Name *
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First Name *
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School Name *
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School Address *
Full street address including city and zip code, please!
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Email Address *
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Mobile Phone Number *
Only used if absolutely necessary (e.g., change to training location on the morning of training)
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Dietary Restrictions *
Check all that apply (please note under "other" if this is a severe allergy)
Required
Number of years teaching science *
Your answer
Number of years teaching biotechnology within another course (e.g., Bio, AP Bio) *
Your answer
Number of years teaching biotechnology as a stand alone course *
Your answer
Have you previously attended an ABE training with the Lawrence Hall of Science? *
Required
Have you previously attended an ABE training with a group other than the Lawrence Hall of Science (e.g., BABEC, PROBE, etc)? *
Required
In which courses do you anticipate using the ABE labs? *
Please check all that apply
Required
Approximately how many students do you plan to use the ABE labs with? *
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Please briefly describe any experience you have with teaching biotechnology. Please include the content you have taught, number of years/courses taught, etc. : *
Note: No experience is required to attend the training
Your answer
Please briefly describe any experience you have working in the field of biotechnology (this can include internships, such as ISMEE, etc): *
Note: No experience is required to attend the training
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Please briefly describe any other experience you have related to biotechnology (e.g. experience with specific biotech equipment, etc): *
Note: No experience is required to attend the training
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Please briefly describe what (if any) biotech resources are available at your school (e.g. class set of p20 pipettes, class set of electrophresis boxes): *
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Does your school offer biotech as a stand alone course? *
Please let us know what you hope to gain from attending the Amgen Biotech Experience workshop: *
Your answer
If you are previously trained in the ABE curriculum, please let us know if there are any particular aspects of the labs or curriculum that you would like to have reviewed in this workshop.
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How did you hear about the SF/Bay Area Amgen Biotech Experience PD Workshop? *
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