NSF/CBMS at TCU, May 17-22, 2009
Registration Form

The registration fee for the conference is $75 (which includes breakfast and lunch Monday through Friday).

To register for the conference, please complete this form and mail the registration fee (payable to Dept. of Mathematics) to Dept. of Mathematics, TCU, Box 298900, Fort Worth, TX 76129:

Last Name: First Name:
Home Institution:
Address Line 1:
Address Line 2:
City: State:  Zip: 
Work Phone: Home Phone:
Complete E-mail Address: Fax:
Dietary restrictions:
I would like to stay on campus Yes  No 
Arrival date:
Departure date:

Do you wish to apply for support?		 No 
Yes    If yes, continue below.
   

We anticipate being able to provide some travel support for graduate students and postdocs participating in the conference. We will accomodate requests from regular faculty if there are sufficient funds. Early requests will be given preference. Our first priority is to provide lodging. We strongly recommend housing in on-campus dormitories and reservations will be made directly by the Mathematics Department. We will cover other travel expenses if there are sufficient funds. Women and minorities are especially encouraged to apply for support. To receive support, you must register by April 1, 2009. Preference will be given to applications received by March 1, 2009.   

If you would like to stay on campus but do not require support, please fill out the relevant portions of the form below and indicate that you do not need support in the comment areas.

Application for financial support

Gender: Female Male 
Position: Senior Faculty Junior Faculty Grad Student Other: 
Ph.D. degree: University: Year:
I would like to stay on campus Yes  No 
Arrival date:
Departure date:

Please provide reasons for interest in conference:

Recent relevant papers: