1. Name:
2. Address(es) through July 1999:
3. Social Security Number:
4. Telephone(s):
5. e-mail address(es):
6. FAX Number(s):
7. (If applicable): Name and address of person who will be sending a letter of recommendation on your behalf (Recommended for junior researchers):
8. If you wish, you may identify yourself here as
(a) Female mathematical scientist
(b) Graduate student
(c) Recent Ph.D.
(d) Applicant from an underrepresented group (specify)
(e) Physically challenged researcher
(f) Faculty member at a non-research-intensive school
or as a member of
(g) Another appropriate category (specify)
9. Amount of Support Requested:
State, approximately, how much support you are requesting from the National Science Foundation. Supply details below.
10. Please indicate if you would like information about local hotels or university apartments. Default housing will be in the MTU dorms.
Note:
(1) Lodging expenses will be limited to the actual cost of seven nights in a single room at Wadsworth Hall (about $130). You may opt for other living arrangements, but will only be reimbursed up to the stated amount.
(2) Likewise, reimbursement for meals will be limited to about $75 (the actual cost of 19 "all you can eat" meals at the dorm cafeteria, which serves a variety of well-balanced meals, including vegetarian entrees.
(3) We expect to limit reimbursement for airfare to the cost of a "supersaver" ticket purchased at least four weeks in advance. If you can drive, especially in a group of two or more, please do so. This will enable us to support the largest possible group of participants.
(4) We encourage you to tap into all other possible sources of funding, e.g., departmental funds, research grants, etc.