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MBI Current Topic Workshop (CTW) Application Form

Mathematical Biosciences Institute
The Ohio State University
Jennings Hall, 3rd Floor
1735 Neil Avenue
Columbus, Ohio 43210

614-292-3648
FAX: 614-247-6643
E-mail: rebecca@mbi.osu.edu

Name:
Email:
Date:
Co-organizers (include dept., inst., & email):
Proposed CTW Title:

Short description of CTW (several paragraphs; speak to timeliness,
interest, and relevance to MBI mission):

List similar workshops in the past two years or planned in the future:

List of people who would likely be invited (between 10 and 20; include
departments and institutions):