APPLICATION
NSF-Funded 2009 GCAT DNA Microarray Workshop
For Faculty Teaching Undergraduates 
Especially Minority-Serving Institutions (MSIs)
July 5 – 11, 2009 at Morehouse College, Atlanta, GA

Name______________________________________________ Gender_________________________

Institution________________________________ Department_______________________________

Shipping Address____________________________________________________________________
__________________________________________________________________________________
Phone__________________________Email_______________________________________________

Highest Degree________________ Area of Specialization___________________________________

Current courses taught________________________________________________________________
__________________________________________________________________________________

Research interests, if any _____________________________________________________________

I prefer workshop #1 (6 – 10)___________ 	I prefer workshop #2 (7 – 11)___________ 

How do you plan on using DNA microarrays in your teaching and/or research? 
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Have you applied to a GCAT workshop and not been accepted? ________ If so, what year________
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) _____________________________________________________

SEND 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:  FEBRUARY 13, 2009. 
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.