Application for Admission to the 2017 Summer Institute
June 5 - July 28, 2017

Title *: Dr.   Mr.   Ms.
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Gender: Male   Female   Other
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Current Studies:
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Previous Degree *:
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Current Employer *:
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How did you hear about the 2017 Summer Institute in Survey Research Techniques *:
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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.)

* 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, International participants must submit TOEFL or MELAB scores with their UM application.
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.
First Session, June 5 - June 30, 2017
8:30 am - 11:30 am Credits
SURVMETH 616 Workshop in Survey Sampling Techniques (Heeringa/Lepkowski), June 5 - July 28, Monday-Friday
(selection allowed only for the Sampling Program for Survey Statisticians)
9:00 am - 12:00 pm Credits
SURVMETH 988.206 Introduction to Applied Questionnaire Design (Schaeffer), June 12 - June 16, Daily 1.0
SURVMETH 988.229 Introduction to Survey Research Techniques (Suzer-Gurtekin), June 5-9, Monday-Friday 1.0
9:00 am - 4:00 pm Credits
Introduction to the Health and Retirement Study (HRS) Workshop (Sonega), June 5-9, Monday-Friday
12:30 pm - 2:30 pm Credits
SURVMETH 988.203 Item Response Theory (Schilling), June 5-30, Monday-Friday 3.0
12:30 pm - 3:00 pm Credits
SURVMETH 625 Applied Sampling/Methods of Survey Sampling (Wagner), June 5 - July 28, Tuesday/Thursday 3.0
1:00 pm - 3:00 pm Credits
SURVMETH 614 Analysis Methods of Complex Sample Survey Data (West), June 5 - July 28, Monday/Wednesday/Friday 3.0
1:00 pm - 4:00 pm Credits
SURVMETH 988.220 Multi-Item Scale Development and Testing (Campanelli), June 5-9, Monday-Friday 1.0
SURVMETH 988.221 Question Testing Methods (Campanelli), June 12-16, Monday-Friday 1.0
3:00 pm - 4:00 pm Credits
SURVMETH 623 Data Collection Methods (Conrad/Keusch), June 5 - July 28, Monday/Wednesday 3.0
3:00 pm - 5:30 pm Credits
SURVMETH 630 Questionnaire Design (Broome), June 5 - July 28, Tuesday/Thursday 3.0
5:30 pm - 8:00 pm Credits
SURVMETH 988.208 Introduction to Survey Research Techniques (Peytcheva), June 5 - July 14, Monday/Wednesday/Friday 3.0
SURVMETH 988.209 Introduction to Survey Research Techniques Module 1 (Peytcheva), June 5-16, Monday/Wednesday/Friday 1.0
SURVMETH 988.210 Introduction to Survey Research Techniques Module 2 (Peytcheva), June 19-30, Monday/Wednesday/Friday 1.0
SURVMETH 988.211 Introduction to Survey Research Techniques Module 3 (Peytcheva), July 3-14, Monday/Wednesday/Friday 1.0
Second Session, July 3 - July 28, 2017
9:00 am - 1:00 pm Credits
SURVMETH 651 Qualitative Methods: Overview and Semi Structured Interviewing (Riley), July 10 - July 14, Daily 1.5
SURVMETH 653 Mixed Method Research Design & Data Collection (Axinn/Ghimire), July 17-21, Monday-Friday 1.5
9:00 am - 4:00 pm Credits
Basic Concepts and Theoretical Background (Wagner/Kreuter/Peytchev), July 25, Tuesday
Case Study in Responsive Design Research (West/Axinn/Schouten/Laflamme), July 26, Wednesday
A Management Model for Responsive Survey Design (Axinn/Kirgis/Guyer), July 27, Thursday
9:30 am - 12:15 pm Credits
SURVMETH 988.202 Multi-level Analysis of Survey Data (Henson), July 3-21, Monday-Friday 3.0
1:00 pm - 4:00 pm Credits
SURVMETH 988.219 Probability and Non-Probability Sampling (Lepkowski/Lee), July 10 - July 14, Daily 1.0
How will your course selection help you meet your career or educational goals: