APPLICATION FOR 
NSF-SPONSORED 2005 SUMMER DNA MICROARRAY WORKSHOP 
HBCU AND TRIBAL FACULTY SOUGHT
JULY 27 – AUGUST 1, 2005
MOREHOUSE COLLEGE  - ATLANTA GEORGIA

NAME____________________________________________ RANK__________________________

INSTITUTION________________________ DEPARTMENT_______________________________

SHIPPING ADDRESS_______________________________________________________________
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PHONE__________________________E-MAIL__________________________________________

HIGHEST DEGREE________________SPECIALIZATION________________________________

CURRENT COURSES TAUGHT______________________________________________________
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PERCENT AFRICAN AMERICAN STUDENTS IN YOUR CLASSES____________
PERCENT NATIVE AMERICAN STUDENTS  IN YOUR CLASSES_____________
YOUR ETHNICITY_____________________________________________________

RESEARCH INTERESTS_____________________________________________________________
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HOW DO YOU PLAN TO USE DNA MICROARRAYS IN YOUR TEACHING AND/OR RESEARCH?
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DO YOU HAVE PRIOR EXPERIENCE WITH DNA MICROARRAYS?  ______________________
IF YES, PLEASE EXPLAIN: _________________________________________________________
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MAIL APPLICATIONS TO:  Dr. Edison R. Fowlks, Professor, Department of Biological Sciences, 101 DuPont Hall, Hampton University Hampton, VA 23668 or email to edison.fowlks@hamptonu.edu or to macampbell@davidson.edu

APPLICATION RECEIPT DUE DATE:  APRIL 15, 2005. 

Neither NSF nor GCAT has quotas for this workshop. We encourage all faculty to apply but we will emphasize the potential impact for faculty who teach at HCBU or Native American schools, or those faculty members who are either African American or Native American.