Application for Admission to the 2018 Summer Institute
June 4 - July 27, 2018

General
Title *: Dr.   Mr.   Ms.
First Name *:
Middle Initial:
Last Name *:
Gender: Male   Female   Other
 
How did you hear about the 2018 Summer Institute in Survey Research Techniques *:
Mailing Address *:
 
 
City *:
State
Zip Code:
Country:
Email *:
Home Telephone:
Work Telephone:
Cell Phone *:
Fax:
Birth Place:
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 *:
Current Position:
Field of Specialization:
 
 
RACE / ETHNICITY
Please indicate whether you consider yourself to be Hispanic or Latino Yes, Hispanic or Latino    No, not Hispanic or Latino  
In addition, select one or more of the following categories to describe yourself:

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Citizenship Status:
Country of Citizenship:

Applying for a J-1 visa is a lengthy and complex process. It is crucial that you send us a copy of your passport AS SOON AS POSSIBLE.

I will be applying for a J-1 Visa. (There is $100 administration fee to the Summer Institute. The amount will be applied to your course fees.)
 
U.S. MILITARY SERVICE


I have served in the US Military.

On active U.S. Military:
Veteran of U.S. armed force:
U.S. Reserves or National Guard:
U.S. Military Dependant:

* Required Field

Payments and Enrollment Status
Must be completed by all applicants
 
* ACADEMIC CREDIT (Please contact the Summer Institute if you would like to apply for academic credit.)
 
Tuition and fees for academic credit must be paid directly to the University based on credit hours and residency. Students supported by a sponsor should provide the University with the information described in the section on tuition and fees. Current UM students enrolling for credit will be billed according to the procedures they established with the University.

All Students Taking Courses For Academic Credit
Residency Status *: MI Non-MI
Degree Level *: BA MA Precandidate Candidate
Credit in Semester *: Spring Summer (If blank, credit will be given in Summer term.)

Please select your enrollment status from the following options
Current UM Student (UM ID )
Summer Guest admission
  Participants who select Summer Guest admission for academic credit will need to complete a University of Michigan Summer Guest application found on the Rackham website, http://www.rackham.umich.edu/. International participants must submit TOEFL or MELAB scores with their UM application.
SUMMER SCHOLARS AND WORKSHOP PARTICIPANTS (not seeking academic credit)
 
 
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
Personal check, cashier's check, or international money order payable to the ISR-Summer Institute in the amount of U.S. $ .

Credit Card
Transfer from a University of Michigan account



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 4 - July 27
1:00pm-3:00pm Credits
SURVMETH 614 Analysis Methods of Complex Sample Survey Data (West), June 4-July 27, Monday/Wednesday/Friday 3.0
8:30am-11:30am Credits
SURVMETH 616 Workshop in Survey Sampling Techniques (Lepkowski/Heeringa/Nishimura), June 4-July 27, Monday-Friday
(selection allowed only for the Sampling Program for Survey Statisticians)
6.0
12:30pm-3:00pm Credits
SURVMETH 625 Applied Sampling/Methods of Survey Sampling (Wagner/Nishimura), June 4-July 27, Tuesday/Thursday 3.0
First Session, June 4-29
1:00pm-4:00pm Credits
SURVMETH 988.221 Question Testing Methods (Campanelli), June 18 - July 13, Thursday 1.0
2:00pm-3:00pm Credits
SURVMETH 630 Questionnaire Design (Broome), July 2-27, Friday 3.0
3:00pm-4:00pm Credits
SURVMETH 623 Data Collection Methods (Conrad/Keusch), June 4-July 27, Monday/Wednesday 3.0
9:00am-12:00pm Credits
Methodology for Randomized Controlled Trails (Couper), June 18, Monday
SURVMETH 988.206 Introduction to Applied Questionnaire Design (Schaeffer), June 11-15, Monday-Friday 1.0
9:00am-4:00pm Credits
SURVMETH 988.220 Multi-Item Scale Development and Testing (Suzer-Gurtekin), June 4-8, Monday/Wednesday 1.0
RSD-Basic Concept and Theoretical Background (Wagner/Peytchev), June 19, Tuesday
RSD-Case Studies in Responsive Survey Design (West/Axinn/ Schouten/Laflamme), June 20, Wednesday
RSD-Responsive Survey Design for Web Surveys (Axinn/Coffey), June 20, Wednesday
RSD-Developing Dashboards for Active Monitoring (Edwards/Laflamme), June 21, Thursday
RSD-Alternative Indicators Designed to Maximize Data Quality (Schouten/Shiomo), June 21, Thursday
RSD-A Management Model for Responsive Survey Design (Axinn/Kirgis/Guyer), June 22, Friday
RSD-Getting SMART about the Collection of Data for Informing the Construction of Optimal Adaptive Interventions (Aimirall), June 22, Friday
RSD-Implementing, Managing, and Analyzing Interventions in a Responsive Design Framework (West/Trappmann), June 25, Monday
RSD-Two-Phase Sample Design in a Responsive Survey Design Framework (Wagner), June 25, Monday
RSD-Implementation of Responsive Survey Design at the U.S. Census Bureau (Miller), June 27, Wednesday
SURVMETH 988 Introduction to Survey Methodology (Peytcheva), July 2-3. Monday-Thursday 1.0
SURVMETH 988.229 Introduction to Survey Research Technique (Suzer-Gurtekin), June 4 - 8 Monday/Wednesday 1.0
SURVMETH 988.XXX Cognitive Interviewing for Testing Survey Questions (Campanelli), June 18 - 19, Monday/Tuesday 1.0
Introduction to the Health and Retirement Study (Sonnega), June 11 - June 15, Monday-Friday
Second Session, July 2-27
9:00am-4:00pm Credits
Probablity and Non-Probablity Sampling (Lepkowski/Lee), July 16-20, Monday-Friday 2.0
 
How will your course selection help you meet your career or educational goals: