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Computational Modeling Workshop: Registration

Please use the following form to register for the Computational Modeling Workshop to be held on Tuesday, April 28th, 2015.

1. Last Name:

2. First Name:

3. Email Address:

4. Institutional Affiliation (e.g. Univ. of Chicago):

5. Street Address:

6. Country:

7. Phone number:

8. Gender:

9. Citizenship:

10. Select the item which best indicates your current level of education:

11. General area of study (e.g. biophysics):

12. Are you a local resident who will be commuting to the workshop, or a non-local interested in various lodging options?

13. Participants are required to bring a laptop to participate in the workshop, with some setup before arrival. Do you have a laptop you can use during the workshop?

14. Which laptop platform/operating system will you be using?

15. Describe your level of expertise in using VMD:

16. Describe your level of expertise in using NAMD:

17. Describe your level of expertise in using CHARMM-GUI:

18. Supervisor (if applicable):

Please note . . .

Questions 19 and 20 are important for the selection process. Please provide as much detail as possible while staying within a 250 word response limit.

19. Describe in a concise paragraph your background as relevant to the workshop:

20. Provide a concise paragraph about the benefits you hope to accrue from attending the workshop:

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