1) To apply by e-mail, simply fill in the attached application form and email it before May 15, 2002 as a text file to: courses@tiem.utk.edu 2) To apply by FAX or surface mail, please print out the attached registration form and send to: Dr. Louis J. Gross Department of Ecology and Evolutionary Biology Dabney Hall 569 - 1416 Circle Dr. University of Tennessee Knoxville, TN 37996-1610 865-974-4295 865-974-3065 (Secretary) 865-974-3067 (FAX) *********************************************************************** APPLICATION FORM - SHORT COURSE - INTRODUCTION TO THE MATHEMATICS OF BIOLOGICAL COMPLEXITY Presentied in association with the Conference on Mathematical Biology and Society for Mathematical Biology Annual Meeting 2002 To be held July 12, 2002 at the University of Tennessee Conference Center Supported by the National Institutes of Health Award GM59924-01 *********************************************************************** Name: Title: Address 1: Address 2: City: State: Zip: Telephone: email address: FAX: I wish to be considered for attendance at this Short Course and understand that all attendees are expected to stay and participate in the Conference which immediately follows the Course: ( ) 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 Course registration fee, the Conference registration fee, housing, and travel. Preference for such support will be given to: graduate students, younger researchers 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 Can you cover half of the travel from other sources or do you request full travel support? ( ) Request half support ( ) Request full support Do you request support for the Course registration fee ($100)? ( ) Yes ( ) No Do you request support for the Conference registration fee ($125 for students and $300 for non-students, assuming you are not an SMB member)? ( ) Yes ( ) No Do you request support for lodging during the Course and the Conference (Thursday through Monday evenings)? ( ) Yes ( ) No Nights for which I request housing: Thursday July 11 ( ) Yes ( ) No Friday July 12 ( ) Yes ( ) No Saturday July 13 ( ) Yes ( ) No Sunday July 14 ( ) Yes ( ) No Monday July 15 ( ) 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.