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:
Mr      Mrs       Dr      Professor      Miss      Other

PROFESSIANAL STATUS:
Graduate Student        Postdoc        Tenure Staff        Other

ADDRESS:



NATIONALITY:

DATE OF BIRTH:

SEX:
Male             Female

TELEPHONE:
FAX:
E-MAIL:

PROPOSED ARRIVAL DATE:
PROPOSED DEPARTURE DATE:                           

PhD THESIS TITLE:
DATE:
SUPERVISOR:

BRIEF CURRICULUM VITAE SINCE GRADUATION:













CURRENT OR PROJECTED RESEARCH AND MOTIVES TO ATTEND THE PROGRAM:










SCIENTIFIC PUBLICATIONS OF APPLICANT
(no more than 5, give title of paper, journal,
 volumes and page numbers, authors):















WILL YOUR INSTITUTION/RESEARCH GRANT BE ABLE TO FUND YOUR VISIT?
Yes                     No

HAVE YOU APPLIED FOR A GRANT FOR THIS PURPOSE FROM ANY OTHER BODY?
Yes                     No

IF YES, WHAT RESULT?

ARE YOU GOING TO GIVE A PRESENTATION?
Yes                     No

IF YES, PLEASE SUBMIT THE TITLE AND 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? 
Yes                     No

Do you wish to apply for funding to cover travel costs? 
Yes                     No

If YES, please provide estimated costs for travel 
(using most economical air fares). 
Please express all amounts in US dollars:




If funding is not given are you still able to attend?
Yes                     No

I declare the above information is factual and complete.




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MAIL THIS APPLICATION FORM TO:

Advanced Study Institute SF2000 
Arizona State University 
Department of Mathematics 
Box 871804 
Tempe, AZ 85287-1804 
U.S.A.
 
OR SEND IT BY ELECTRONIC MAIL TO:
sf2000@math.la.asu.edu 

OR FAX IT TO:
1-480-965-8119 

THANK YOU FOR YOUR INTEREST IN OUR PROGRAM!
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