1) To apply by e-mail, simply fill in the attached registration form (as a Text File, not as a Word or other file) and email it to: courses@tiem.utk.edu 2) If absolutely necessary, you may apply by FAX by printing out the registration form and send to: Dr. Louis J. Gross Department of Ecology and Evolutionary Biology Dabney Hall 569 - Circle Dr. University of Tennessee Knoxville, TN 37996-1610 865-974-4295 865-974-3065 (Secretary) 865-974-3067 (FAX) *********************************************************************** APPLICATION FORM - COURSES ON THE MATHEMATICS OF BIOLOGICAL COMPLEXITY University of Tennessee, Knoxville Supported by the National Institutes of Health Award GM59924-02 Course 1: March 30 - April 2, 2003 Course 2: July 9-12, 2003 Course 3: September 7-10, 2003 (Note revised date) *********************************************************************** Name : Title : Organization : Address 1: Address 2: City : State : Zip : Country : Telephone : email address : FAX: I wish to be considered for attendance at: Course 1: Introduction to the Mathematics of Biological Complexity ( ) Yes ( ) No Course 2: Optimal Control Theory in Application to Biology ( ) Yes ( ) No Course 3: Modeling the evolutionary genetics of complex phenotypes: a hierarchical approach from sequences to populations ( ) Yes ( ) No My training/background is (degrees attained or pursuing, papers published, research fields - attach a brief cv if you wish): Reasons for requesting attendance (e.g. how this will aid current research or collaborations or those you wish to pursue): Do you have special dietary preferences or restrictions (e.g. diabetic, low sodium, kosher, vegetarian, etc.) or anything else we should know to aid your attendance at these courses? If so, please note: Grants are available to defray the costs of attendance for participants, including partial or full support for the registration fee, housing, and travel. Preference for such support will be given to: graduate students and individuals who can obtain at least partial support from their home institutions. Generally, individuals from private, for-profit institutions will be expected to cover their own expenses. I wish to apply for a grant? ( ) Yes ( ) No If yes, for which course or courses do you wish support? Course 1 ____ Course 2 ____ Course 3 ____ Can you cover half of the travel from other sources or do you request full travel support (support will only be available for those driving or obtaining air travel through the Course travel agent)? ( ) Request half support ( ) Request full support Do you request support for the registration fee ($300 per course which includes all meals during the course)? ( ) Yes ( ) No Do you request support for lodging during the course? ( ) Yes ( ) No For further information, contact the organizer: Dr. Louis J. Gross, Professor of Ecology and Evolutionary Biology and Mathematics, Director, The Institute for Environmental Modeling at the address above or at gross@tiem.utk.edu.