Advanced Training Institute 2008 Application Form - Geographic Information Systems for Behavioral Research

Advanced Training Institute 2008 Application Form
Geographic Information Systems for Behavioral Research

* indicates required fields.
General Information
First Name:*
Last Name:*
Affiliation:*
Address 1:*
Address 2:
City:*
State:*
Zip:*
Country:*
Daytime Phone:*
Alternate Phone:
FAX:
Email:*
Position Title OR Year in Grad School (if student):*
APA Member:*	Yes No I am applying for membership now.* *You must submit your APA membership or affiliate application at the same time that you submit your ATI application. Discounted tuition will not be given for APA membership/affiliate applications submitted after the ATI application deadline. In addition to submitting the APA application online, a copy of your submitted membership application must be faxed to Attn: Advanced Training Institute at 202-336-5953 or emailed to ATI. The APA membership form is available on-line.
Gender:*	Male Female
Racial/ethnic heritage - please mark all that apply:	American Indian or Alaskan Native Asian or Pacific Islander Black/African American Caucasian/White Hispanic/Latino Other (please specify ):
Personal Statement


1. Briefly state (in 100-300 words) why you would like to attend this ATI (selection criteria are here).*
2. How will you use the knowledge gained in this ATI in future research? (Please limit response to 300 words.)*

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