Special Geometry Festival

Courant Institute of Mathematical Sciences
New York University
April 30 - May 2, 2004




  Registration Form

Please complete the following form and click submit at the bottom of the page

Personal Information
First Name:
Family Name:
Full Email Address:
Daytime Phone:
University Affiliation:
Mailing Address
Address Line 1:
Address Line 2:
Address Line 3:
City:
State:
Zip Code:
Home Address

This section is required only if you are applying for financial support, and if it is different from your mailing address.
Address Line 1:
Address Line 2:
Address Line 3:
City:
State:
Zip Code:
Arrival/Departure
Arrival Date: Friday, April 30
Saturday, May 1
Sunday, May 2

Departure Date: Friday, April 30
Saturday, May 1
Sunday, May 2
Financial Assistance
The Geometry Festival is supported in part by a grant from the National Science Foundation. Limited funds will be available for partial reimbursement of travel and hotel costs for some of the participants. Preference will be given to graduate students and younger faculty who do not have NSF or other grant or school support.
Would you like to request financial assistance? Yes, please answer a few more questions

No, you can now this form

Answer the following questions only if you are applying for aid. Otherwise you can now submit this form

Do you have a grant or other financial support? Yes

No

Please indicate the year in which you received your Ph.D.

Student
1999 - 2003
1995 - 1999
Prior to 1995

What are your estimated transportation costs?

What are your estimated hotel / housing costs?

What is your Social Security Number?

Are you a U.S. Citizen or Permanent Resident?

Yes, you can now this form

No, please follow a few more instructions below:

If you are not a U.S. Citizen or Permanent Resident AND you are applying for financial assistance, there are additional forms that must be completed for tax purposes only.

INSTRUCTIONS:

  1. Click on this link and print out the forms.
  2. Fill out all of the required forms completely in blue or black ink. Make sure to sign your name where necessary.
  3. Before you arrive at the Courant Institute, make a copy of your visa stamp or sticker in your passport, and if applicable, a copy of the Form I-94 in your passport, and submit the entire package at Warren Weaver Hall when you register.
  4. If you have any questions when filling out the forms, please send an email to geomfest@cims.nyu.edu
  5. Click on the submit button below to send the information you have already entered
Form Submission
When you are ready to submit this form, simply click the submit button below. Note that the financial section is completely optional. Please make sure that all the information you have entered is correct. If you have any questions or concerns regarding this form, feel free to e-mail us at geomfest@cims.nyu.edu. If you are experiencing difficulty with the form, you may also e-mail the information to geomfest@cims.nyu.edu.