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Registration Form for ECACC Training Courses

Which course would you like to register for? 
Dates Level I    Level II   

Personal details:

Title (Dr, Miss etc.)
Name
Nationality
Business Address
Telephone
Fax
Email Address
CPD Registered Yes    No
Lab coat size

Please submit a purchase order with your registration form to the value of the registration fee (plus VAT), attach a VAT exemption certificate if applicable.

 

Accomodation

A single room will be booked for you at a local Hotel starting the evening before the course start date. Departure will be the morning of the last day. (This is not included in the course fees.)

Do you require extra nights at the hotel? Yes    No
If Yes, please specify
Do you have any special dietary requirements? Yes    No
If Yes, please specify

 

The series of questions below will enable us to modify the course in some areas to meet your needs therefore we would appreciate your answers. However we cannot guarantee to cover all your specific needs.

 

1.

Give a brief description of your relevant scientific qualifications and experience:

 

2.

Which of the areas below best describes your current job?

 Research    Production    Quality Control    Administration

 

3.

How much experience have you had working with cell cultures?
None  0-5 months 6-11 months 1-4 years 5-10 years

Other please specify

 

4.   Please indicate the experience you have of the following cell culture techniques

Working aseptically in a Class II cabinet
No experience Tried once with Instructor Tried once alone
Tried more than twice but not fully confident Experienced
Subculturing attached cells
No experience Tried once with Instructor Tried once alone
Tried more than twice but not fully confident Experienced
Subculturing suspension cells
No experience Tried once with Instructor Tried once alone
Tried more than twice but not fully confident Experienced
Resuscitating vials of frozen cells
No experience Tried once with Instructor Tried once alone
Tried more than twice but not fully confident Experienced
Cryopreserving cells
No experience Tried once with Instructor Tried once alone
Tried more than twice but not fully confident Experienced
Using a haemocytometer for manual cell counting
No experience Tried once with Instructor Tried once alone
Tried more than twice but not fully confident Experienced

 

5.

Which cells and types of cell cultures do you have experience of?

 Primary Cells    Organ cultures    Hybridomas   
Suspension cells    Attached cells    3D culture   
Large scale cell preparation
What cells are you currently working with?

 

6.

Which cells would you like to work with on the course?

 

7.   Do you have any objections to observing practical demonstrations showing the preparation of cells from:

Human umbilical cord Yes    No
Rat cerebella Yes    No
Chick embryo's Yes   No

 

8.

Please give a short reason and statement why you would like to attend this course.

Important Notice - Before making your travel arrangements it is advisable to contact ECACC one month prior to the course date to ensure the course is proceeding.

Cancellations - If you cancel your registration 4 weeks or more before the course date a £75.00 administration fee will be deducted from your refund.

If less than 4  weeks notice is given we can only refund 50% of the total course fee.

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Related Information

 

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