RIVIERE-FABES SYMPOSIUM

April 20-22, 2007

School of Mathematics, University of Minnesota
127 Vincent Hall
206 Church St. S.E.
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 letter that confirms your status, identifies your research area and addresses the possible value to you of your participation. The writer may fax, email (rfs@umn.edu), or mail their brief letter to the organizers of the symposium. Applications will be reviewed on an ongoing basis until March 23, 2007. Early applications are strongly encouraged.

Your Name:______________________________________

Institution:__________________________________________

Department Address:     __________________________________
                                  __________________________________
                                  __________________________________
                                  __________________________________

Email: _________________________

Phone: _________________________

Status:

Graduate Student_______
Year and Status: (e.g.: "2nd year, orals and thesis to be completed")
_________________________________
PostDoc______
Year of PhD______________

Arrival date: ____________________ Departure date: _____________________

Citizenship (for visa purposes) _______________________

The person who will write a brief letter on your behalf: _______________________________________

Partial Support Information:  The amount of support is tentatively set at a maximum of $650 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)