University of Arkansas Spring Lecture Series 2006
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Math Department
Registration
Title:
Dr
Prof
Ms
Mrs
Mr
First Name:
Family Name:
Institution:
Address Line 1:
Address Line 2:
City:
State/Province:
ZIP/Postal Code
Country:
Phone:
Fax:
email:
Professional Level:
Senior Level Faculty
Junior Level Faculty
Postdoc
Graduate Student
Undergraduate Student
Other
Residency Status:
US Citizen
Resident
Non-Resident
If you are not a U.S. Citizen and are applying for support, you will need to bring documentation verifying your Visa status (Passport or Visa). Moreover, you will need to fill out the non resident tax form.
Support: Subject to funding from the NSF, we will be able to offer limited support for expenses to some participants. Please indicate need and other sources of support. Graduate students, junior faculty, women, minorities, and persons with disabilities are especially encouraged to participate and to apply for support. Early application is encouraged.
Are you interested in giving a talk?
Yes
No
Maybe
Will you attend the banquet?
Yes
No
Please list any dietary constraints: