The 52nd Midwest Conference in
Partial Differential Equations

November 15-16, 2003

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 Prof. Markus Keel), send an email to keel@math.umn.edu, or use regular mail. Please have someone who knows you well, write a 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 it to Prof. Keel (keel@math.umn.edu). Applications will be reviewed on an ongoing basis until October 22, 2003.   Early applications are 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 maximum available support is $500 per person. In order to be reimbursed, we need receipts covering your airfare, hotel, taxi and car rental.  We can reimburse you for lodging expenses up to $80.00 per night.  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.