Full Name * Email Address * Street Address, City, State * Location from which you would travel to attend the course, if selected: * Affiliation/Institution * Are you a: * Professor Associate Professor Assistant Professor Postdoc Grad Student Other If other, please explain: Brief description of your interest in taking this short course, including your expectations for how this course might benefit your work: * 250 words max Brief description of the system or problem you would like to model: * 250 words max Do you have prior agent-based modeling and/or programming experience? If so, please describe the topic and software packages and/or programming language(s) used. If not, please write "No prior experience". * 250 words max Are you requesting travel assistance? If so, please describe the circumstances that demonstrate your need for financial assistance. 250 words max CV/Resume * How did you hear about this opportunity? * Subscribe to SESYNC Monthly Newsletter Yes