APPLICATION FORM FOR PARTICIPATION IN THE PROGRAM Special Functions 2000: Current Perspective and Future Directions May 29 - June 9, 2000 Arizona State University, Tempe, Arizona, USA E-mail:  sf2000@math.la.asu.edu Fax: 1-480-965-8119 The deadline for applications is February 21, 2000 Decision will be made by February 28, 2000

First name:

Last name:

Title:  MrMrsDrProfessorOtherMiss

Professional status:  Graduate StudentPostdocTenure StaffOther

 

Dept address:

Add'l address info:

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Nationality:

Date of Birth:

Sex:  Male Female

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Telephone:	Fax:
email address:

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Proposed Arrival Date:

Proposed Departure Date:

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PhD thesis title:

Date:

Supervisor:

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Brief curriculum vitae since graduation:

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Current or projected research activities and motives for wishing to attend this program:

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Scientific publications of applicant (no more than 5,  give title of paper, journal, volumes and page numbers, authors):

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Will your institution/research grant be able to fund your visit?YesNo Have you applied for a grant for this purpose from any other body?YesNo If yes, what result?

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Would you like to give a presentation ? YesNo If YES, please submit the title of your talk and a a short abstract: FUNDING If you wish to be considered for support, please complete the following additional questions: Do you wish to apply for funding to cover subsistence costs?YesNo Do you wish to apply for funding to cover travel costs?YesNo If YES, please provide estimated costs for travel using most economical air fares. Please express all amounts in US dollars:

From	To	Means of Transport	Return/Single	Cost ($)

If funding is not given are you still able to attendYesNo I declare the above information is factual and complete.

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