RIVIERE-FABES SYMPOSIUM

April 23-25, 2004

School of Mathematics
University of Minnesota
206 Church St SE # VinH 127
Minneapolis MN 55455

Request for graduate student or postdoc partial travel support.

Use this form to give us the information we need. You may fax the form to 612-626-2017 (to the attention of Mr. Harry Singh), send email to dept@math.umn.edu, or use regular mail addressed to Mr. Harry Singh. Please have someone who knows you well write a note that confirms your status, the possible value to you of your participation, and identifies your research area. The writer of your note may fax or email or mail it to Harry Singh. The deadline date for the receipt of completed application is Apri1 1, 2004.

Your Name:______________________________________

Institution:__________________________________________

Department Address:      __________________________________
                                  __________________________________
                                  __________________________________
                                  __________________________________

Email: _________________________

Phone: _________________________

Status: grad _______ status ________(Orals+thesis left, etc.)

Post Doc ________ yr _____(of PhD)

Arrival date: ____________________ Departure date: _____________________

Citizenship (for visa purposes) _______________________

The person who will write for you: _______________________________________

Partial Support information: The amount of support is tentatively set to at most $600 per person. We can pay documented expenses only. We  can pay up to $70 + tax per night for lodging for any subset of Thursday through Saturday nights. Airfare, hotel, taxi and car rental receipts are required for reimbursement.  We must caution you that only domestic flights on US carriers can be reimbursed. Let us know if this worries you! We cannot pay you if you have the "wrong" sort of visa (e.g. a tourist visa)! Let us know if you have questions.