Application to attend GO-FAANG Workshop

We are requesting pre-registration applications to attend to determine a head count for meeting planning.

• The first pre-registration period was June 1-July 1; After July 1, you are still welcome to pre-register but will be put on a waiting list and contacted if space becomes available.
• You will be notified by July 15, 2015 whether your pre-registration is accepted. Accepted pre-registrants will be asked to register by August 5, 2015.

Title:	- Dr. Ms. Mr.	First name:		Last name:
Position:	- Officer Scientist Faculty Staff Student	Email:
Affiliation:
Briefly describe your research:
How you may contribute to the the GO-FAANG meeting goals:
Are you interested presenting a poster on your research?					Yes No
In case you are unable to attend on site, would you be willing to pay $50-100 to help cover a possible interactive webcast?					Yes No
Type the number into the box on the right: