2013 GMOD Summer School

*Required

Basic information

First Name * Last Name * Address line 1 * Address line 2 City * Zip/Postal Code State/Province (if applicable) Country * Email * Institution

Course-Specific Information

Do you have a laptop that you can install software on that you can use for the course? *We may be able to provide a loaned machine if not.

Yes No

Do you have an Amazon account? * The course uses the Amazon Compute Cloud for which an Amazon account is required.

Yes No

Laptop operating system *

Windows 7 Windows Vista Windows XP Mac OS X Linux Don't have a laptop Other:

Familiarity with Linux and the command line *

	1	2	3	4	5
Never used						Use daily

Statement of Interest *Please write a statement indicating why you want to come to the GMOD summer school and what problems you need to solve or how you plan to use GMOD software at your home institution. The Statement of Interest is the most significant part of your application, and is the primary item considered when reviewing applications.

Any other comments or questions?

Demographic Data

The GMOD Summer School is hosted by the National Evolutionary Synthesis Center (NESCent), in Durham, North Carolina. NESCent asks for the following demographic data relating to gender, ethnicity, race, disability and citizenship so that:

NESCent can gauge whether their programs and other opportunitites in science and technology are fairly reaching and benefiting everyone regardless of demographic category
NESCent can ensure that those in under-represented groups have the same knowledge of and access to programs, meetings, vacancies and other research and educational opportunities as everyone else
NESCent can monitor involvement of international investigators or students in work they support.

Submission of this information is voluntary (you can select "Do not wish to provide" for any question). Failure to provide this information will not affect your application in any way. NESCent collects this information solely to track the success of their outreach to the community. Please see the NESCent privacy policy for more information.

Gender *

Female Male Do not wish to provide Other:

Disability *

None Visual impairment Hearing impairment Mobility impairment Do not wish to provide Other:

Ethnicity *

Hispanic or Latino Not Hispanic or Latino Do not wish to provide Other:

Race *

American Indian or Alaskan native Asian Black or African American Native Hawaiian or other Pacific Islander Caucasian Do not wish to provide Other:

US citizenship *

US citizen US permanent resident Non-US citizen Do not wish to provide