Science Outside the Lab (SOtL)

A science policy immersion program in Washington, D.C. for graduate students

2018 Application – Page 1

Please complete the information below using the Word form feature. Date:

Last Name / First Name / Middle Name / Nickname/Preferred First Name
Mailing Address / City / State / ZipCode
Email Address / Cell Phone / Other Phone
University / Department
Degree / Major / Term/Year Started / Graduating Term/Year
Official Citizenship / Visa Type / Gender / Date of Birth (MM/DD/YYYY) / Dietary Restrictions
Do you identify as a person with a disability? Yes No
How did you hear about SOtL? / Please specify as you feel comfortable:

Two sessions available in 2018 – please indicate your preference:

May 27th through June 9th June 10th through June 23rd Available for either session

Fee Options (check one):

Option 1 (with lodging): $4,000, includes all program activities and materials, shared lodging for 13 nights, 13 breakfasts, 10 weekday lunches, and local transportation via the metro while in Washington, D.C. Participants are responsible for making their own travel arrangements to and from Washington, D.C., as well as their own lunches during the weekend and all dinners.
·  If you know someone else who is attending your session and would like to request them as a roommate, please enter their name(s) here:
Option 2 (no lodging): $3,000, includes all program activities and materials, 10 weekday lunches, and local transportation via the metro while in Washington, D.C. Participants are responsible for making their own travel arrangements to and from Washington, D.C., and making their own lodging arrangements for the duration of the program, as well as their own lunches during the weekend and all dinners.

How will the fees be paid? (grant money, PI funding, self funding, etc.)

COMPLETE THE QUESTIONS ON PAGE 2.

Please send your completed application by e-mail as an attachment to or by fax to (480) 727-8791

by Thursday, March 1, 2018.

For program information, please visit https://cspo.org/program/science-outside-the-lab/.

Science Outside the Lab (SOtL)

A science policy immersion program in Washington, D.C. for graduate students

2018 Application – Page 2

Last Name / First Name / Middle Name

1.  Briefly explain your career goals and how you see an increased understanding of science policy will help you achieve them (1 to 2 paragraphs):

2.  Please provide a brief two-paragraph biography: