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: 
Professional status: 
 
Dept address: 
Add'l address info: 

Nationality:  Date of Birth: 
Sex:  Male
Female
 

Telephone:  Fax: 
email address: 

Proposed Arrival Date:  Proposed Departure Date: 

PhD thesis title:  Date:  Supervisor:

Brief curriculum vitae since graduation:

Current or projected research activities and motives for wishing to attend this 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?
Have you applied for a grant for this purpose from any other body?
If yes, what result?

Would you like to give a presentation ? 
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?
Do you wish to apply for funding to cover travel costs?
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 attend
I declare the above information is factual and complete.