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MIT DEPARTMENT OF BIOLOGY
Pilot workshop on Quantitative Biology

January 3- January 10, 2012
9:00am-4:30pm

NOTE: The workshop will start at 1:30 PM on Tuesday January 3 and end at 3 PM on January 10.

Schedule and Reading Material for the workshop will be posted on the course website.

To access the course website you need to be registered for the workshop.

Quantitative Biology Registration Form

Please use this form to sign up for the class and hotel reservations. All registrants must complete the Personal Information section, and the student or faculty information section depending on your category. If you need hotel accommodations, you must contact the hotel yourself (see information below).

For more information contact Mandana Sassanfar at mandana@mit.edu.

Personal information

First:
Middle:
Last:
Gender:

Email address:
Cell Phone Number:
Home Address:

School and Department:

For Students:


Major:
Minor:
Expected Date of Graduation:
Career Plan:

Courses Taken:

A) List all life science courses you have taken.

B) List all math/computer science course you have taken.

C) Indicate if you have been exposed to MATLAB, PYTON, PYMOL, R, PERL

For Faculty/Program Directors:

Title:

Courses Taught:

Hotel Reservations:

The Kendall Hotel
350 Main Street
Cambridge MA, 02142
(located in Kendall Square)
Reservations phone #: 617-577-1300
Reservations fax #: 617-577-1377
www.kendallhotel.com

Please give the group name for the reservation (example: Barry University group) for IAP –Quantitative Biology, 2012).

Room Selection (prices include tax and fees):


Double: $142.14 per night — room with two beds
Triple: $142.14 per night — room with three beds
No room needed

Roommate (please enter full name):

Please note: If you are indicating a roommate from your school your roommate must include you on his/her form. If you do not indicate a roommate, one will be assigned to you.

All room rates include: Full Fireman's American Breakfast buffet, high-speed Internet access (Wi-Fi & wired), and Complimentary pass to Fitcorp (fitness club)