Proteomics: experimental approaches revealing biological processes

Separation Sciences for Proteomics: 29 September – 3 October 2003

Mass Spectrometry for proteomics: 6 October – 10 October, 2003

We have made this form because there are a large number of registrations for the courses and, unfortunately, we have to operate a selection. The number of participants is limited to 8 for each course.

We will evaluate each applicant on the basis of their project and the potential it has to translate what the course offers into successful research. We will also take into account career background and access to technology.

Deadline for registration:

30^th June 2003

Laboratory address:

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First name:..................................................……………

Family name: …………………………………………

Date of birth: ........………….....………………………

Lab phone:............................................….......................……...............

Fax: ......................…….........................………………...……………..

E-mail: ...................................................................................................

PLEASE NOTE THAT THE COURSES ARE FOR ACADEMIC OR NON-PROFIT RESEARCHERS ONLY. A SPECIFIC COURSE IS ORGANISED FOR SCIENTISTS FROM COMMERCIAL ORGANISATIONS

Name of scientific supervisor (if applicable): .................................................................................................................

Professional status:

Technician [ ]

PhD Student [ ]

Post-doc [ ]

Associate Scientist [ ]

Professor [ ]

Other:_____________________

Date:

Candidate's

Signature

Institution:

University [ ]

Hospital [ ]

Other research institute [ ]

Others:___________________

PLEASE RETURN THIS APPLICATION TO:

Dr Odile Carette

Geneva Proteomics Centre (5-717)

Central Clinical Chemistry Laboratory, HUG

24 Micheli-du-Crest, 1211 Geneva 14, Switzerland

Fax: +41 (0)22 372 73 99

e-mail: odile.carette@dim.hcuge.ch

I would like to register for:

[ ] Separation Sciences: Sfr 1500.-

[ ] Mass spectrometry: Sfr 1500.-

[ ] Both courses: Sfr 2500.-

The following questions will help us to evaluate your application:

1 - Participating in the course will be helpful to you to:

Continue your project [ ]

Start a new project [ ]

Expand your scientific scope [ ]

Initiate an international collaboration [ ]

2 - What is the field of research of your department and/or laboratory ?

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3 - What is your current research interest (describe your project in 5 lines maximum)?

4 - How do you think you can apply proteomics successfully to your research project (5 lines maximum)?

5 - Is the project funded? yes [ ] no [ ] grant application submitted [ ]

6 - Please list 3 significant publications of your group related to your project

7- Access to equipment:

direct* indirect* in the future no access

1-D SDS-PAGE [ ] [ ] [ ] [ ]

2-D SDS-PAGE [ ] [ ] [ ] [ ]

Liquid Chromatography [ ] [ ] [ ] [ ]

MALDI-TOF MS [ ] [ ] [ ] [ ]

Electrospray MS [ ] [ ] [ ] [ ]

* direct: in the same research group ; indirect: shared equipment or access to a core facility

8 - How would you describe your experience in the fields of:

No experience Beginner Fair Advanced

Biochemistry [ ] [ ] [ ] [ ]

Cell biology [ ] [ ] [ ] [ ]

Electrophoresis [ ] [ ] [ ] [ ]

Protein microchemistry [ ] [ ] [ ] [ ]

Mass spectrometry [ ] [ ] [ ] [ ]

9 – Please attach a copy of your CV to this application.

Thanks very much!