VCU Bioinformatics & Bioengineering Summer Institute
Pre-Institute Questionnaire

Please submit this form by Monday, May 10
(but note that some information is needed before that date)

Basic information
Name
E-mail
(Believe it or not, this question is just an anti-spam measure)

Forms

Have you submitted a W9 Form? Yes   No

Have you submitted a Vendor Registration Form? Yes   No

Should be received by Monday, May 10 to ensure processing of your first check. Send to:

    Melissa Korzecke, BBSI c/o CSBC
    P.O. Box 980678
    Virginia Commonwealth University
    Richmond, VA 23298-0678
   
    (or fax to Melissa at 804-828-9946)
    (or call to say hello at 804-827-0335)

(Needed by VCU to open the money spigot. Don't bother with any field that's optional, and don't bother asking me any questions, including why you are a vendor, because I don't know the answer)

Still more

Have you sent Melissa what's requested below? Yes   No

Should be received by Monday, May 3 to make you exist in VCU's computer. Copy and paste the following into an e-mail:

    Full name:
    Full address*:
    Phone number:
    Date of birth:
    Social Security Number:
    Gender:
    E-mail address:

and send the requested information to Melissa Korzecke (MLKorzecke AT vcu.edu). Or if you prefer, you can call her (804-827-0335) and tell her what she wants to know using more transient electrons.

(The address is necessary to send you a tax form next year, so it should be one that might reasonably work then. The Social Security Number is needed to generate the tax form. I don't know what the rest is for, but the computer will not sleep without it)
(Yes, you're supplying the same information as before, but pasting it into an e-mail will enable Melissa to cut/paste it into the forms she needs to fill out)

Your travel plans
Mode By air   By train   By bus   By car   ???
Cost (approximate OK)
Time of arrival
(of course on Tuesday, May 26)
Flight/Train/Bus #
(if applicable)
Authorization Have you dealt with the issue of authorization? Yes   No

Click here to understand what I mean)

Car Will you have a car while here? Yes No
(You might want to check out Local Transportation)

Your research plans (new people)
Discussion This might be a good time to review:
    How will you and your BBSI mentor find each other?

Have you discussed VCU mentor possibilities with your home mentor?  YES no

Have you contacted one or more prospective VCU mentors?
 YES no

Have you received from one or more prospective VCU mentors articles, proposals, and/or other material that might give you a better idea what kind of life might be in store for you?
YES no

Have you pored over this material and achieved at least some glimmer of insight? YES no

Thoughts What are your best, current thoughts about VCU mentors you think would work well?
Please provide a list including the reasons you put the prospective mentor on your list and how you and your home mentor think a project could work over the academic year. It isn't necessary to find a direct connection, but we're certainly interested if you WERE able to find one.

(These choices are not binding but should be indicative of your current state of mind)

Your life
Music Do you play a musical instrument? Yes No

If so, what?
Do you intend to bring it? YES               no

Food Do you have any eating biases?
Food you love?
"Food" you will not eat?

(We will be supplying many of your meals, especially at the beginning)
Room You will be living in an apartment with other BBSI participants. The process of lumping together people who have never seen each other before (by other people who have never seen them before) has an unavoidable degree of randomness. On the chance that you might be able to provide some information that may make the process more rational,...

Do you have any apartment-mate biases?
Characteristics you love?
"Characteristics" you will not abide?
Perhaps some lovable/unlovable characteristics of your own?
Times when you need peace and quiet?


Your webpage OK if I link your (soon-to-exist) webpage to the BBSI site?
      Yes   No
(This will make it accessible to your colleagues but also to Google and the world at large)


Willing to send me a digitized image of yourself to post?
      Yes   No
(Visual aids may be useful in helping people find each other in airport lobbies)
(At least that's one reason)
Miscellaneous
No need to write an essay, but what are your current thoughts regarding life after college?
Tell me something interesting. Anything... something I've never heard before.
Even two things.
Any other comments or questions?




Pressing SUBMIT should bring to your screen a Thank You
message that includes a list of your responses.
If you do NOT get this screen, something went wrong.
Please let me know!

Thanks!