Human Research Protection Program

Registration

Human Subject Research Core Education: Boot Camp

 Friday, June 7, 2013

Location:  MFRC 3075                        Time:  8:00 a.m. to 4:00 p.m.

Instructions:  1.  Fill out electronic registration (required).  2.  Select payment type.  If a check will be used, send check made payable to MCW with a note or copy of the electronic registration to Office of Research, MFRC.  When paying by transfer of funds, a number must be provided. More information below.

 Special Needs?  (dietary, etc.)  

 Parking Needed?Yes         No

 *Phone Number (daytime)

*Payment Type (Pre-payment required)

*Internal Transfer of Funds (MCW Only):

$75.00 to Office of Research (credit)
Account #45002-471400-103-3304426

Account to be debited

(Cost Center, Natural Account, Fund #or Grant #, Activity Code)

A number MUST be provided  (5, 6, 3, 3 digits respectively)(Grant cannot be NIH)

 *Name of Department Administrator or Business Manager

 *email for Department Administrator or Business Manager

For Internal Transfer of Funds:  The Department Administrator or Business Manager will be e-mailed and asked to confirm that payment for this course has been approved. Internal transfers occur from MCW departments.  Remember, a NUMBER MUST be provided as only MCW departments can initiate an internal transfer of funds.

Check payment:  Accepted only from outside MCW sources (includes a personal check).  Registration will be complete upon receipt of check.  Send attention to Office of Research, MFRC.