THE JOHNS HOPKINS GRADUATE SUMMER INSTITUTE OF EPIDEMIOLOGY AND BIOSTATISTICS

APPLICATION (please print)

 Mr.  Ms.  Dr.

Name
first / middle initial / last / gender (m or f)
Occupation / Title
Office Address
street / city / state / Zip
Home Address
street / city / state / Zip
Work Phone / Home Phone / Fax
area code/number / area code/number / area code/number
Indicate your preferred mailing address / Home / Office
Country of Citizenship / Country of Legal Residence
Email
Required for academic credit students: / Social Security Number / Date of Birth

PROFESSIONAL EXPERIENCE (three most recent starting with current)

Dates
M/Yr – M/Yr
Employer / Position / Activities

EDUCATIONAL BACKGROUND (start with most recent university/college degree)

School / Area of Concentration / Degree / Year Received
JHU Affiliation (please check all that apply)
 Employee /  Attended Continuing Education Course/Institute /  Alumnus/Alumna
Are you currently enrolled in a degree program at the JohnsHopkinsUniversity?
 Yes /  No / If yes, which department and degree
Are you currently anMPH candidate at JHSPH?
 Yes /  No
Are you currently a DrPH candidate at JHSPH?
 Yes /  No
Have you ever previously participated in the Johns Hopkins Graduate Summer Institute of Epidemiology and Biostatistics?
 Yes /  No / Year(s)
How did you hear about our program? /  Brochure /  Website /  Colleague /  Other

Full payment is requested with the application.All applications must be accompanied by payment in full, or a non-refundable $125 deposit (to be applied towards total tuition).Applications received without full payment (or deposit) will not be processed.For information concerning the program, please contact the Coordinator, Ayesha Khan,by telephone at (410) 955-7158, by fax at (410) 955-0863, or by email . Visit our website at .

If you have any special needs, please let us know.

Please complete and mail with payment to:Johns Hopkins Bloomberg School of Public Health, Summer Institute Office, 615 N. Wolfe Street, W1101, Baltimore, Maryland21205. Checks should be made payable to JohnsHopkinsUniversity. It must be indicated on the application whether or not courses are to be taken for academic credit. Please review the class schedule to make sure you have not selected courses that meet at the same time. All current enrolled JHSPH degree candidates registering for academic credit should register online at note that if a degree candidate wishes to register for non-credit, they must use the brochure//non-credit online application.

Please include: / Credit Desired: / Yes No / Payment Method:
Tuition Payment / $______/ Academic Credit.……………. /   /  Check (payable to: JohnsHopkinsUniversity)
 American Express  MasterCard  Visa Discover
Housing Payment
(if applicable) / $______/ Non-Credit……………………. /   / Card #______
Deposit (if applicable)
/ $______/ Expiration Date______
Card Verification Code ______
Total Enclosed / $______/ Cardholder Name______
(As it appears on card – please print)
Cardholder Address (If different from participant)
______
______
City State Zip
Signature______
Date______
Course Schedule(please check your selection)
THREE-WEEK COURSES
Morning Schedule 8:30 a.m.–Noon
 Principles of Epidemiology (June 13–July 1 / M T W Th F, S 6/18)

TWO-WEEK COURSES

Morning Schedule 8:30 a.m.–Noon

Observational Epidemiology

(June 13–June 24/ M T W Th F)

Afternoon Schedule 1:30 p.m.–5p.m.

Epidemiology of Tobacco Control

June 13 – June 24 / M T W Th F)

 Statistical Reasoning in Public Health I

(June 13–June 22 / M T W Th F)

 Statistical Reasoning in Public Health II

(June 22–July1 / M T W Th F)

ONE-WEEK COURSES

June 13–June 17 (M T W Th F)

 Biostatistics Analysis of EpidemiologyData I:

Logistic Regression (8:30 a.m.–Noon)

 Applications of the Case-Control Method (8:30 a.m.–Noon)
Comparative Effectiveness Research: Outcome Measurement
(8:30 a.m.–Noon)
Biostatistics in Medical Product Regulation (8:30 a.m.–Noon)
Genetic Epidemiology in Populations (8:30 a.m.–Noon)
Molecular Biology for Genetic Epidemiology(1:30 p.m.–3 p.m.)
Data Analysis Workshop I (1:30 p.m.–5 p.m.)
 Epidemiology of HIV/AIDS(1:30 p.m.–3:50 p.m. and two noon-time seminars)

 Public Health Dimensions of Global Tuberculosis Control
(1:30 p.m.–5 p.m.)
 Epidemiologyin Evidence-BasedPolicy (1:30 p.m.–5 p.m.)
Introduction to Diabetes and Obesity Epidemiology (1:30 p.m.–5 p.m.)

Ethics Issues in Human Subjects Research in Developing Countries

(1:30 p.m.–5 p.m.)

Survival Analysis (1:30 p.m.–5 p.m.)

ONE-WEEK COURSES (cont’d)

June 20–June 24 (M T W Th F )

 Biostatistics Analysis of EpidemiologicData II:

Poisson and ConditionalLogistic Regression(8:30 a.m.–Noon)
Family-Based Genetic Epidemiology (8:30 a.m.–Noon)
 Topics in Infectious Disease Epidemiology:(S)(8:30 a.m.–12:30 p.m)
Nutritional Epidemiology(8:30 a.m.–Noon)

Pharmacoepidemiology (8:30 a.m.–Noon)
Design and Conduct of Clinical Trials(S)(1:00 p.m.– 5:00 p.m.)
 Conducting Epidemiological Research (1:30 p.m.–3:00 p.m.)
Perspectives on Mgmt of Epidemiologic Studies

(3:30 p.m.–5:00 p.m.)
Data Analysis Workshop II(1:30 p.m.–5 p.m.)

Advanced Issues in the Epidemiology of HIV/AIDS (1:30 p.m.–3:50 p.m. and two noon-time seminars)

Longitudinal Data Analysis (1:30 p.m.–5 p.m.)

Jun 27–July 1 (M T W Th F)

Biostatistics Analysis of Epidemiologic Data III:

Semiparametric Methods (8:30 a.m.–Noon)
Social Epidemiology(8:30 a.m.–Noon)

Bayesian Adaptive Trials (8:30 a.m.–Noon
Topics in Clinical Trials Management (8:30 a.m.–Noon)

Multilevel Models(1:30 p.m.–5 p.m.)

 Methods and Applications of Cohort Studies (1:30 p.m.–5 p.m.)
 Advanced Data Analysis Workshop (1:30 p.m.–5 p.m.)

 Epidemiologic Methods for Planning and Evaluating Health Services

1:30 p.m.–5 p.m.)

 Introduction to the SAS Statistical Package(1:30 p.m.–5 p.m.)

ONE-DAY WORKSHOPS

8:30 a.m.–5 p.m.

Saturday, June 18

 Methods for Clinical and Translational Research

Saturday, June 25

 Critical Reading of the Epidemiologic Literature

Housing Application
Please check: /  Female /  Male /  Single Room / I would like to share a suite with: / (Name of person)
June 12–July 1, 2011 / June 12–June 17, 2010 /  June 19–June 24, 2010 /  June 26–July 1, 2010
 I will make my own housing arrangements /  Please send list of hotels

I hereby certify that the information given by me is complete and accurate in every respect, and I understand that any misrepresentation or omission may be cause for denial of registration or revocation of academic credit.While attending the Summer Institute, I will adhere to all

rules and regulations applicable to the Bloomberg School of Public Health students, including but not limited to the Student Conduct Code and Student Academic Ethics Code.

Signature of Applicant / Date