THE 2012 NSF-CBMS CONFERENCE ON
MATHEMATICAL METHODS OF COMPUTED TOMOGRAPHY
May 29-June 2, 2012

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Please fill out the following application form:

Name:
E-mail:
Webpage:
Phone:
Affiliation:
Mailing address:
Gender:
Position:
Citizenship:
Arrival date:
Departure date:
Support requested:

Below, please briefly describe your research interests relevant to this conference:

Below, please briefly describe how you will benefit from attending this conference:

Even though not necessary, sending us a brief vita/resume might be useful during the selection of conference participants. Below, please mention if you plan to send us your brief vita/resume, and how (e-mail, fax, etc.) and when we may expect to receive it.

Any other comments (e.g., special needs, dietary restrictions, any other relevant information, etc.):

If you are a graduate student, please have your advisor send us a recommendation letter supporting your attendance in this conference. Below, please provide your advisor's name and contact information, and please mention when we may expect to receive the supporting letter.


The contact person regarding the applications to this NSF-CBMS conference is Prof. Julianne Chung (e-mail: chungj@uta.edu). If you need to send any supporting documents related to your application or if you have any questions related to applications, please communicate with Prof. Julianne Chung (e-mail: chungj@uta.edu). Once your application is complete (i.e. after the arrival of the brief vita/resume, a supporting letter from the advisor, and this completed online application), we will inform you, after February 15, 2012, by e-mail whether you will be invited to participate in our NSF-CBMS conference. Our funding does not allow us to support applicants from institutions abroad. Thank you for applying to our conference!

   



Tuncay Aktosun aktosun@uta.edu
Last modified: May 28, 2012