CCTSI ATLAS.ti Short Course Enrollment

Participant Enrollment Information First Name** Last Name** Email**

If other degree, please specify.

If other affiliation, please specify.

Academic Rank**

If other academic rank, please specify.

University ID

Academic/Position Title**(eg. Chair, Vice Chair, Director, Section Head, Dean, etc.)

School, Center or Institution**Enter N/A if not applicable.

Primary Department**Enter N/A if not applicable.

Division**Enter N/A if not applicable.

Type of research** (select all that apply)

Participant Demographic Information

Data collected here are always presented in a de-identified form, predominantly only in aggregate, and customarily only to organizations with a need-to-know status like the National Institutes of Health and the National Science Foundation (typically in conjunction with applications for funding) as our future funding depends on inclusion of diversity, we encourage you to fill out the demographic questions

Gender

If you chose to self-describle, please specify.

Raceselect all that apply

Ethnicity

This participant has a physical or mental impairment that substantially limits one or more major life activities?

Yes No Prefer not to answer

This participant comes from a family with annual income below established low-income thresholds

Yes No Prefer not to answer

This participant is first-generation to college

Yes No Prefer not to answer

This participant comes from a challenging social, cultural, or educational environment (such as that found in certain rural or inner-city environments that have demonstrably and recently directly inhibited the participant from obtaining knowledge, skills, and abilities necessary to develop and participate in a research career)

Yes No Prefer not to answer

Course Enrollment

Enroll in the:

ATLAS.ti Beginner Mac Course ATLAS.ti Beginner Windows Course Schedule Office Hours

Certifications CCTSI Member

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Program Evaluation Participation

By submitting this application, you are expected to participate in the program evaluation, which is administered by the Evaluation Center. You will be contacted directly at the end of the program.

I understand participation requirements

Problems contact CCTSI Education, Training and Career Development Administration
Email: CCTSI Education, Training and Career Development Administration