Last name:
First name:
e-mail address:
University affiliation:
Arrival date (an estimate is fine):
Departure date (an estimate is fine):
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* (* in this
case be sure to bring documentation specified on the support page).
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.)
Could you give us an estimate of how much support you will need?
Transportation costs that won't be reimbursed from other sources: $
How many nights to do expect to be in Athens?
Registration fee: $50
Is there anything else you would like us to know? |