If you need to change your e-mail address, please e-mail bioc@indiana.edu.
If you wish to change your password, use the fields below. Passwords are case-sensitive and should only include alphanumeric characters (a-z, A-Z, 0-9).
E-Mail Address
' . $data['Email'] . '
Old Password
Password
Confirm Password
Contact Information
Name
First*
Middle
Last*
Address
Address Line 1*
Address Line 2
Address Line 3
City*
State/Province
Postal Code*
Country*
Affiliation & Other
Title/Position
Affiliation (university, etc.)
Telephone Number
';
// if a speaker, do not display travel support question
if($data['Status'] == 'speaker') {
$text .= '';
} // end if speaker
else {
$text .= '
Travel Support
Would you like to be considered for travel support?*
We will include in the workshop booklet a directory of contact information of those who were involved in the workshop. The booklet will be distributed only to those who were involved in the workshop, and the directory will not be made available online. If you would like to be included in the directory, please indicate so below:*
';
$values = array('1', '2', '3', '0');
$names = array('[1] Print my name, title, affiliation and e-mail address.', '[2] Print the items in option [1] + my address.', '[3] Print the items in option [2] + my phone number.', 'Do not include me in the directory.');
$desc = array('[1] Your name, title, affiliation, and e-mail address will be printed.',
'[2] Your name, title, affiliation, e-mail address, and address will be printed.',
'[3] Your name, title, affiliation, e-mail address, address, and phone number will be printed.',
'You will not be included in the directory.');
for($x = 0; $x < 4; $x++) {
if($values[$x] == $data['Directory']) {
$text .= ' ' . $names[$x] . ' ';
}
else {
$text .= ' ' . $names[$x] . ' ';
}
}
$text .= '
If you request that we print your contact information, we will use the information that you have provided above. If you request that we print an item but have not filled out the appropriate field, then that item will not be printed.
Other Information
Employer or Institute*
Role at Place of Employment*
Support for the Workshop has been provided by agencies of the US Federal Government. We are required to report information on sex and ethnicity. The information you provide will only be used in aggregate statistics; it will not be associated with your name in reports. Your response to these questions is voluntary, but they can significantly impact our ability to secure future funding.
Sex
Ethnicity
';
if($flag == 1) {
$text .= '';
}
$text .= '
';
break;
// ###### travel
case 'travel':
$text .= '
Travel Support
';
if($data['Status'] != 'speaker') {
$text .= '
If you receive travel support, you will be required to provide the following information. In an effort to expedite processing of potential reimbursements, we will collect this information from you now. Should you not receive travel support, this information will be purged from our database.
';
}
else {
$text .= '
Please read below for information about travel support.
To better assist you with your transportation arrangements and your stay during the workshop, we would like for you to fill out the following information. For information regarding reimbursements, please see travel support page.
';
break;
// ###### presentation
case 'presentation':
$text .= '
Presentation Information
Title of Presentation (maximum length of 255 characters, including spaces)
Special Characters? If your presentation title has special characters that you cannot enter in your browser, indicate so in the field above and we will use the title that you provide in your abstract. To upload your abstract, see below.
Abstract [due by April 3, 2006]
Abstract Upload Instructions
To upload your abstract for inclusion in the booklet of workshop proceedings, use the form below. The maximum file size is 1 MB (1048576 bytes).
If you uploaded the incorrect file or wish to upload a revised version, upload the new file, and the old file will automatically be replaced with the new file.
Abstract Length: the length of your abstract should be about 1740 to 2300 characters with spaces.
Please click the \'Upload File\' button only once. File uploading may take several minutes depending on network conditions.
';
// if they have uploaded a file, display a note
if($data['AbstractFlag'] == 1) {
$text .= '
NOTE You have already uploaded an abstract. If you upload another file here, your old file will be deleted and replaced with the new one. Please note that this action cannot be undone.
The following schedule and fees* apply to all participants of the workshop. The registration fee covers participation in all seminars, discussions, and poster sessions, computer access while at Indiana University, and admission to the Biocomplexity 7 Banquet on Tuesday, May 10, 2005 at 6:00 PM.
If you do not have a US bank account, please contact bioc@indiana.edu to discuss fee payment.
We cannot accept payments by credit card. We apologize for any inconvenience that this may cause.
Make a check or money order payable to:
Indiana University
Send payments to:
The Biocomplexity Institute
727 East Third Street
Swain West 157
Indiana University
Bloomington, IN 47405
Registration Fees*
Due to network-related problems, we have extended the early registration deadline through March 25th.
Graduate Student
Postdoc
Jr Faculty
Sr Faculty/
Industry
Early Registration [through March 25, 2005]
$20
$50
$75
$100
Priority Registration [March 26 - April 14, 2005]
$50
$75
$100
$125
Late Registration [April 15 - May 1, 2005]
$100
$100
$150
$150
Registration must be submitted and payment must be received:
Early Registration: by March 25, 2005
Priority Registration: by April 14, 2005
Late Registration: by May 1, 2005
*If you have requested travel support, a portion of the registration fee may be returned. Final decisions regarding travel support will be made by April 15, 2005 and are subject to our receipt of external funding.
The registration fee is non-refundable after April 1, 2005.
IMPORTANT NOTICE
To complete your registration, check the information below to verify that it is accurate. If any changes need to be made, click the links to edit the information. If all of the information is correct, submit your registration by clicking the button at the bottom of the page. Your registration is not complete until you do so.