VCU Bioinformatics & Bioengineering Summer Institute
Pre-Institute Questionnaire

Please submit this form by Monday, May 12
(but note that some information is needed before that date)

[NOTE: This questionnaire is inactive and is here solely for historical interest]

Basic information
Name
E-mail
(Believe it or not, this question is just an anti-spam measure)

Your W9 form

Have you submitted a W9 form? Yes   No

Should be received by Monday, May 5 to assure processing of your first check. Send to:

    Jenn Jefferies, BBSI c/o CSBC
    P.O. Box 980678
    Virginia Commonwealth University
    Richmond, VA 23298-0678
   
    (or fax to Jenn at 804-828-9946)
    (or call to say hello at 804-827-0335)

(Needed by VCU to open the money spigot. Don't bother with any field that's optional, and don't bother asking me any questions, because I don't know the answer)

Still more

Have you sent Jenn what's requested below? Yes   No

Should be received by Monday, April 28 to make you exist in VCU's computer. Copy and paste the following into an e-mail:

    Full name:
    Full address*:
    Phone number:
    Date of birth:
    Social Security Number:
    Gender:
    E-mail address:

and send the requested information to Jenn Jefferies (JEJefferies AT vcu.edu). Or if you prefer, you can call her (804-827-0335) and tell her what she wants to know using more transient electrons.

(The address is necessary to send you a tax form next year, so it should be one that might reasonably work then. The Social Security Number is needed to generate the tax form. I don't know what the rest is for, but the computer will not sleep without it)

Your travel plans
Mode By air   By train   By bus   By car   ???
Cost (approximate OK)
Time of arrival
(of course on Tuesday, May 27)
Flight/Train/Bus #
(if applicable)
Authorization form Have you sent in a Travel Authorization Form? Yes   No
Did you sign the form? Yes   No  
      Just the top line of Section C.
      The line under Travel Advance is not necessary.

Send the completed form by Monday, April 28 to Jenn Jefferies. Contact her for details (see above).

Car Will you have a car while here? Yes No
(You might want to check out Local Transportation)

Your research plans
Discussion Have you discussed VCU mentor possibilities with your home mentor? Yes No
Thoughts What are your best, current thoughts about VCU mentors you think would work well?
Please provide a list including the reasons you put the prospective mentor on your list and how you and your home mentor think a project could work over the academic year. It isn't necessary to find a direct connection, but we're certainly interested if you WERE able to find one.

(we will use this information just for general planning purposes, e.g. planning the opening symposium)

Your life
Music Do you play a musical instrument? Yes No
If so, what? (if not, never mind)
Do you intend to bring it? YES                               no
Food Do you have any eating biases?
Food you love?
"Food" you will not eat?

(We will be supplying many of your meals, especially at the beginning)
Room You will be living in an apartment with other BBSI participants. The process of lumping together people who have never seen each other before (by other people who have never seen them before) has an unavoidable degree of randomness. On the chance that you might be able to provide some information that may make the process more rational,...

Do you have any apartment-mate biases?
Characteristics you love?
"Characteristics" you will not abide?
Perhaps some lovable/unlovable characteristics of your own?


Your webpage OK if I link your (soon-to-exist) webpage to the BBSI site?
      Yes   No
(This will make it accessible to your colleagues but also to Google and the world at large)


Willing to send me a digitized image of yourself to post?
      Yes   No
(Visual aids may be useful in helping people find each other in airport lobbies)
(At least that's one reason)
Miscellaneous
No need to write an essay, but what are your current thoughts regarding life after college?
Tell me something interesting. Anything... something I've never heard before.
Even two things.
Any other comments or questions?
Please send a provisional list of possible BBSI mentors by Tuesday, May 13
(see How will you and your BBSI mentor find each other?)




Pressing SUBMIT should bring to your screen a Thank You
message that includes a list of your responses.
If you do NOT get this screen, something went wrong.
Please let me know!

Thanks!