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If you are planning on attending the conference, please let us know by copying the following form into an e-mail, filling it out and sending it to mtomova@math.uiowa.edu. The deadline for funding is April 24, 2009.
Last name:
First name:
e-mail address:
University affiliation:
Do you want to be considered for support? Yes / No (If you choose No, you can skip the following questions and send the form in now.)
What is your citizenship status (choose one of the following)? US Citizen / Resident Alien / Nonresident Alien.
Which of the following apply to you?
I received my Ph.D. within the last 5 years. Yes / No
I am a woman or a member of an underrepresented minority. Yes / No
I am a graduate student. Yes / No
If you are a graduate student, could you tell us a little bit about yourself? (E.g., I am an nth year student working with Prof X on Y.)
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