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Computational Paleophysiology
(BIO 5665/6665)


Please complete the form below, then click the 'Submit Application' button at the bottom of the page.   Application results will be sent via e-mail, so be sure to include a usable e-mail address in the form. Contact the instructor, CG Farmer, if you have questions about the course.



First name:
Last name:

Major:

Address:
City, State, ZIP code:

e-mail address:
phone:

Career stage:
Year in school: Interest:
Tell us in approximately 500 words why you are interested in taking this course.   What do you hope to get out of it?   Are there particular topics you are interested in learning? We have some flexibility in lecture content and will try to accomodate interests.

Dietary Information
Please help us plan the meals and tell us about food restrictions and preferences  


Person to notify in case of emergency:
Name:
Address:
City, State, ZIP code:
Phone:

Health issues:
Field study can involve strenuous physical work in remote areas where access to medical facilities may be limited.   Do you have any health issues (e.g., diabetes, physical handicaps, disabilities, allergies to bees, etc.), which we should know about or that might interfere with your participation in this course? Yes No

If yes, please explain fully and consult your physician concerning the advisability of attending the field course.

Click the button below to submit the application.

Allow a few moments for processing; you will be notified when the submission has completed.

Additionally, you should receive an e-mail message acknowledging submission of your application within 24-36 hours.   If that reply is not received, please contact CG Farmer.