Application Form
Industry


- The over-all outline for the full course is shown below. There are also a few application alternatives for those who wish to participate in parts only (major or minor modules - or certain combinations) of the course - see below.


FULL COURSE OUTLINE


MODULES

Module A: Pharmacology;
              module A1: General Quantitative Pharmacology (1.5 ECTS)
              module A2: Specialized Quantitative Pharmacology

Module B: PK/PD;
              module B1: PK/PD (3 ECTS)
              module B2: Advanced Pharmacokinetics
              module B3: Integrated PK/PD

Module C: Specialized Topics;
              module C1: Introductory PK/PD
              module C2: Pharmacology in the Future

Module D: Individual Project Work









APPLICATION FORM


NB! - CHECK ONE OF THE FOLLOWING SIX ALTERNATIVES!

Then complete the form for application details below.

- Don't forget to press the "Submit" button at the bottom of the page when you're finished!
(You can change any item before submitting your application.)


ALTERNATIVE 1: I WISH TO PARTICIPATE IN THE FULL COURSE (Sep 1 - Nov 7).
Fee: 30.000 SEK (≈ 3.225 €)
C1A1 A2 B1 B2 B3 C2
Module D: 10 weeks
CHECK FOR ALT 1








ALTERNATIVE 2: I WISH TO PARTICIPATE IN MODULE A1 (Sep 8-12) ONLY:
PHARMACOLOGY: GENERAL QUANTITATIVE PHARMACOLOGY. Fee: 10.000 SEK (≈ 1.075 €)
C1A1 A2 B1 B2 B3 C2
Module D: 10 weeks
CHECK FOR ALT 2








ALTERNATIVE 3: I WISH TO PARTICIPATE IN MODULE B1 (Sep 29 - Oct 3) ONLY:
PK/PD. Fee: 15.000 SEK (≈ 1.610 €)
C1A1 A2 B1 B2 B3 C2
Module D: 10 weeks
CHECK FOR ALT 3








ALTERNATIVE 4: I WISH TO PARTICIPATE IN MODULE C1 (Sep 1-2) ONLY:
SPECIALIZED TOPICS: INTRODUCTORY PK/PD. Fee: 5.000 SEK (≈ 540 €)
C1A1 A2 B1 B2 B3 C2
Module D: 10 weeks
CHECK FOR ALT 4








ALTERNATIVE 5: I WISH TO PARTICIPATE IN MODULES C1 + A1 (Sep 1-2 + 8-12) ONLY:
INTRODUCTORY PK/PD + GENERAL QUANTITATIVE PHARMACOLOGY. Fee: 15.000 SEK (≈ 1.610 €)
C1A1 A2 B1 B2 B3 C2
Module D: 10 weeks
CHECK FOR ALT 5








ALTERNATIVE 6: I WISH TO PARTICIPATE IN MODULES C1 + B1
(Sep 1-2 + Sep 29 - Oct 3) ONLY:
INTRODUCTORY PK/PD + PK/PD. Fee: 20.000 SEK (≈ 2.150 €)
C1A1 A2 B1 B2 B3 C2
Module D: 10 weeks
CHECK FOR ALT 6









Name:


Affiliation:


Postal Address:


Postal Code:


City:


Country:


E-mail:


Prior experience in related fields:


No of years in graduate school:








CONTACT INFORMATION


Questions to:

Course Administrator Patrik Aronsson

E-mail: patrik.aronsson@pharm.gu.se

Phone: + 46 - 31 - 786 3440

FAX: + 46 - 31 - 82 10 85

Postal Address:
Department of Pharmacology
University of Gothenburg
Box 431
SE 405 30 Gothenburg
Sweden