72nd Annual
June 3 - July 26, 2019

Application for Admission to the 2019 Summer Institute

June 3 - July 26, 2019

General

Email*
Title:*
First Name:*
Middle Initial
Last Name*
Sex:
Gender:
 
Mailing Address*
City*
State*
Zip Code*
Country*
Work Telephone
Primary/Cell Telephone*
Fax
Birthplace
Native Language
Name to Appear on All Documents

Education

Current Studies*
Field of Study*
University
Dates

Previous Degree*
Field of Study*
University
Dates

Employment

Current Employer
Position
Field of Specialization

J-1 Visa Assistance

Applying for a J-1 visa is a lengthy and complex process. It is crucial that you upload a copy of your passport.

Citizen Status

Citizenship Status
Country of Citizenship

Race / Ethnicity (For U.S. Citizens and Permanent Residents Only)

Please indicate whether you consider yourself to be Hispanic or Latino.



In addition, select one or more of the following racial categories to describe yourself.





U.S. Military Service

Payments and Enrollment Status
Must be completed by all applicants

See Tuition, Fees, and Other Costs for fee amounts.
Please indicate method of payment below.
(The preferred method of payment is credit card. Contact the Summer Institute Office to make special payment arrangements.)
Payment will be sent in advance by



Course/Workshop Selection

Please select from the following and limit your selection to no more than six credit hours per four-week session.

Sampling Program for Survey Statisticians

June 3-July 26

Credits

3
3

First Session

June 10-14

Credits

1
1.5

June 17-21

Credits

1
2

June 24-25

Credits

1

June 26-27

Credits

1

June 26-28

Credits

2

June 28

Credits

.5

Responsive Survey Design: A Research Education Program

June 17

Credits

June 17-18

Credits

June 17-19

Credits

June 18

Credits

June 19

Credits

June 19-21

Credits

June 20

Credits

June 21

Credits

Second Session

July 1-2

Credits

1
1

July 3 & 5

Credits

1

July 8-9

Credits

.5
1

July 10-12

Credits

.5

July 11-12

Credits

1

CV or Resume Upload