STEM CELL TRAINING COURSE
Registration For Course or Network
 

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Contact Us


Once you submit your Registration, you will be able to log in once we verify your application.  If you do not here back from us within 24hrs, please email us at info@stemcellcourse.org

Future Course dates - TBA

Select one:       STEM CELL COURSE    OR     NJ STEM CELL NETWORK  

 


 

STEM CELL COURSE APPLICANTS ONLY:  

Tuition

Academic Scientist is $1500, lower fees for students please inquire.

non-Academics please contact: info@stemcellcourse.org

(Tuition does not include airfare, or hotel)

All attachments must be in MS WORD, Adobe PDF or plain text format.

 


 

A. Personal Information

 

Last Name

 

First Name

 

Middle Initial

 

Title

 

Position

 

Institution

 

Address

 

Address 2

 

City

 

State

 

Zip Code

 

Country

 

Phone

 

Fax

 

Email

 

 

 

Password

 

Confirm Password

 

 

B. Research Experience

 

ES Cell Experience:
Mouse
Rhesus
Human
Other
 
Other Stem Cell Experience

 

 
Molecular Biology Experience:
Beginner
Intermediate
Advanced
 
Viral Experience:
Beginner
Intermediate
Advanced
 


A brief description of your scientific research.  You can either upload a file or paste it in the text box below.

 



A NIH style Biosketch (maximum four pages).  You can either upload a file or paste it in the text box below.

 


Note: Distribution of information: check box if you want to limit the information to academic sources or leave blank if we can provide the information to relevant biotech companies.  This information will be used to help support the SCRC.

Limit to academic

 

C.  Do you need assistance in obtaining human stem cells ?

1.     Do you wish to arrange an MTA to obtain human embryonic stem cells

From our lab ?         from Other?   

2.     STEM CELL SURVEY. Please let us know if you may be interested in any of the types of cells below.

 

  Cord Blood HSCs
  Placental MSCs
  Bone Marrow MSCs
 Human adult CNS derived glial cells

      Fibroblasts   Adult Skin       Foreskin

 
Other types of human cells:
Modifications (i.e. GFP,...)

D. Attachments

Name/Email of Supervisor or Reference

Name       
EMail       
   

A summary of how the completion of this course will be implemented into your research (maximum one paragraph).You can either upload a file or paste it in the text box bellow.

 

Please type the verification code exactly as seen.

 

  
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Last Updated: February 2, 2013 4:56 PM