RIVIERE-FABES SYMPOSIUM

April 7-9, 2006

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

Request for graduate student or postdoc partial travel support.

To apply for partial travel support, please fill out the form below. You may fax the form to 612-626-2017 (to the attention of Riviere-Fabes Symposium), send an email to rfs@umn.edu , or use regular mail. Please have your advisor or a postdoctoral mentor write a brief note that confirms your status, identifies your research area and addresses the possible value to you of your participation. The writer of your note may fax, email, or mail their brief letter to the organizers of the symposium. (The email address is:  rfs@umn.edu ). Applications will be reviewed on an ongoing basis until March 23, 2006. Early applications are strongly encouraged.

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 at a maximum of $700 per person.  In order to be reimbursed, we need receipts covering your airfare, hotel, and transportation.  Please note that only domestic airfare expenses on U.S. flag carriers are allowed for reimbursement.  Please let us know if you have any questions. (Email to rfs@umn.edu)