Conservation Biology Advanced Study Institute
July 28 - August 10, 2010 and Workshop August 11 - 13, 2010

Advanced Study Institute and Workshop Application Form

Please apply by filling out the following blanks. Note that your application is complete when we have received:
1. this electronic application form
2. a statement of interest and commitment from you (uploaded through the website, .pdf and .doc files only)
3. a letter of recommendation (uploaded through the website, .pdf and .doc files only).
4. a letter from your mentor specifically committing to work with you upon your return from the Institute (uploaded through the website, .pdf and .doc files only).
Applications will continue to be accepted until all slots are filled.

Participants should email application materials to usai (at)
or submit their applications to DIMACS:
Conservation Biology ASI/Workshop
DIMACS/CoRE Bldg/4th Floor
Rutgers University
96 Frelinghuysen Rd.
Piscataway, NJ 08854

What are you applying to attend?
Weeks 1 and 2 of the Institute (and following workshop) Week 2 only of the Institute (and following workshop)
Please indicate your preferences for covering the ASI/Workshop costs (travel, housing, meals, and registration). Are you applying for funding? Please indicate whether you need full funding or whether you have other sources of funding. If you have other sources of funding that might cover part of the cost please indicate below how much they might cover. Estimates are acceptable I would like to be considered for funding through the program, but will still attend the ASI/Workshop if I receive no funding. I will only be able to attend the ASI and Workshop if I receive funding through the program to cover costs. I would like to be considered for funding through the program, but will attend the ASI/Workshop if I only receive partial funding. I do not need funding. I will seek funding elsewhere (or will pay my own way) to cover costs. Estimate of costs to be covered by other sources

Who are you? Your First Name: Your Middle Name: Your last Name:
Your address? Institution: Department: Address Line #1: Address Line #2: Address Line #3: Daytime Phone:
Your E-Locations? E-Mail: Web page:
What degrees have you completed? Bachelors: Area: Institution: Year Completed: Masters: Area: Institution: Year Completed: Ph.D.: Area: Institution: Year Completed: Other: Area: Institution: Year Completed:
Where are you in your current program of study? Area:
Year 1, M.S.
Year 2, M.S.
Year 3, M.S.
Year 4, M.S.
5+ Years, M.S.
Year 1, Ph.D.
Year 2, Ph.D.
Year 3, Ph.D.
Year 4, Ph.D.
5+ Years, Ph.D.

Who will write a letter of recommendation supporting your application?
Title: Name: Phone:

Who will be your mentor in continuing your work on your Institute research project?
Title: Name: Phone:

Some optional information which we are required
to track, since this is a federally funded program.
You are not obligated to answer these questions:
Birthdate: (format mm/dd/yy)
Gender: M F
Are you a U.S. Citizen Permanent Resident non-U.S.Citizen ?
If not a U.S. citizen or permanent resident, please list country of citizenship:

What is your background in conservation biology?
Little or none (e.g. attended a few talks)
One or more courses

Have you had coursework that includes SIR modeling? yes

What calculus have you completed?
Differential calculus? yes no
Integral calculus? yes no
Multivariable calculus? yes no

Have you had any linear algebra courses?
one course
two or more courses

Have you had any statistics courses?
one course
two or more courses

Have you had any coursework in elementary differential equations in one and two variables?

List of relevant math and biology courses you have taken: (please indicate if it is a grad level course or an undergrad level course)
1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12:
What is your proficiency with computer algebra and graphical software?
MatlabNone Beginner Intermediate Advanced
MathematicaNone Beginner Intermediate Advanced
gnuplotNone Beginner Intermediate Advanced
Maple None Beginner Intermediate Advanced
Octave None Beginner Intermediate Advanced

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Last modified March 31, 2010.