APPLICATION FORM

APPLICATION FORM

*Required Fields

Personal Information

First Name*
Last Name*
Affiliation*
Address*
City*
State*
Postal Code*
Country*
Email*
Daytime Phone*

Do you have an U.S. SSN or an US Tax ID?	Yes No
URL of academic/professional website

Equal Opportunity

In order to ensure that the selection procedure satisfies equal opportunity benchmarks, please provide the following information

Gender*

Female Male

Citizenship*

US Citizen

US Permanent Resident

Other (describe below):

Ethnicity*

African American

Hispanic American

Native American

Asian American

Other (describe below):

Academic and Professional Background

Discipline/Research Interest*
Highest Academic Degree Attained*	B.A B.Sc. M.A. M.Sc. Ph.D. Other (describe below):
Academic Rank*	Not-Applicable Graduate Student Post-Doctoral Fellow Lecturer/Professor Assistant Professor Associate Professor Professor Other (describe below):
Academic Appointment*	Not-Applicable Limited-term appointment Untenured academic appointment Tenured academic appointment Other (describe below):
Non Academic Position

Background skills and personal motivation

Please describe in less than 200 words any relevant research projects ( or course work for graduate students) and professional applications where you were dealing with the analysis of geo-referenced data*:

Please describe in less than 200 words how any current research, teaching or professional activities would benefit from your participation in the spatial filtering workshop*:

Please provide a list of statistical and GIS packages with which you are familiar*:

Skill Matrix*:

In order for the workshop to be properly gauged to participate, please indicate your skill level with regards to the following topics:

	[Not Familiar]	[Conceptual Knowledge]	[Experience with Application]	[Expert/and or Instructor]
GIS and Mapping Operation
Spatial Analysis
Matrix Manipulation
Multivariate Statistics
Spatial Econometrics
Generalized linear Model

*Required Fields

Disclaimer:

The selection committee and workshop assistants are committed to maintaining the confidentiality of your identity and provided personal information. Neither the selection committee nor the workshop assistants will be liable for breaches of this promise.

However, please be aware that

[a] part of this information will be reported on an individual and aggregated level to the National Science Foundation, which is the funding agency for this workshop.

[b] a list of invited and confirmed applicants will be posted on this website with their affiliations, titles and email addresses.

The selection committee is committed to identify the most qualified applicants under the constraints of limited available workshop seats, limited funding and equal opportunity guidelines. A rejection of your application cannot be appealed.

[ ] By submitting my application I agree with these terms

Contact: workshop@spatialfiltering.com page last updated: April 24, 2008