Step 1: Application Form

Complete the following application. Upon completion, continue onto Step 2: Document Upload to submit the required documents (compiled into a single PDF document).

Name:

Preferred pronoun:

Mailing Address:

Email Address:

If you use slack, please provide your preferred email address:

Cell Phone (format XXX-XXX-XXXX):

Office Phone (format XXX-XXX-XXXX):

Is it okay to SMS text message, iMessage, or Whatsapp with you (select all that apply):

SMS text message

iMessage

Current university (or national lab) affiliation:

Please select one of the following:

This course relies on knowledge of mathematical/statistical programming, and primarily uses MATLAB and R. While we don’t expect expertise, we do ask for proficiency. Please indicate your level of use for each language. Also, indicate your preferred computing platform. Virtual Box experience is not needed, but the course will being using it extensively.

MATLAB:

Mac:

Linux:

PC:

Virtual Box:

Preferred computing platform:

This course is supported by the National Institutes of Health, please indicate whether you are a US Citizen/Permanent Resident:

Travel awards are need-based. The travel award will cover a portion of the hotel expense. Please indicate here if you are requesting to be considered for an award. We will contact you for further information:

If there is anything else you would like us to know, or wish to bring to our attention, please indicate that here:

Step 1: Application Form

Psychiatry