APPLICATION
NSF-Funded 2008 GCAT DNA Microarray Workshop
For Faculty Teaching Undergraduates 
Especially Minority-Serving Institutions (MSIs)
July 13 – 19, 2008 at California State University, Fullerton

Name______________________________________________ Rank__________________________

Institution________________________________ Department_______________________________

Shipping Address____________________________________________________________________
__________________________________________________________________________________
Phone__________________________Email_______________________________________________

Highest Degree________________ Area of Specialization___________________________________

Current courses taught________________________________________________________________
__________________________________________________________________________________

Research interests, if any _____________________________________________________________

I prefer workshop #1 (14 – 18)___________ 	I prefer workshop #2 (15 – 19)___________ 

How do you plan on using DNA microarrays in your teaching and/or research? 
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have prior experience with DNA microarrays?  ____________________
If yes, please explain: 
__________________________________________________________________________________

Percent AFRICAN AMERICAN Students at your school ____________
Percent HISPANIC Students at your school ____________
Percent NATIVE AMERICAN Students at your school ____________
Percent PACIFIC ISLANDER Students at your school ____________
Your Ethnicity (optional) _____________________________________________________

MAIL APPLICATIONS TO:  Dr. Edison R. Fowlks, Professor, Department of Biological Sciences, 101 DuPont Hall, Hampton University Hampton, VA 23668 or email to DNAMICROARRAY@HAMPTONU.EDU or to macampbell@davidson.edu

APPLICATION RECEIPT DUE DATE:  NOVEMBER 16, 2007. 
Neither NSF nor GCAT uses quotas for any workshop. We encourage all faculty to apply but we will emphasize the potential impact for faculty who teach at MSIs, or those faculty members who are members of underrepresented groups.