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Personal Information |
| First Name:
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| Family Name:
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| Full Email Address:
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| Daytime Phone:
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| University Affiliation:
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Mailing Address |
| Address Line 1:
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| Address Line 2:
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| Address Line 3:
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| City:
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| State:
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| Zip Code:
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Home Address |
This section is required only if you are applying for financial support, and
if it is different from your mailing address.
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| Address Line 1:
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| Address Line 2:
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| Address Line 3:
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| City:
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| State:
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| Zip Code:
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| Arrival/Departure |
| Arrival Date:
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Friday, April 30
Saturday, May 1
Sunday, May 2
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| Departure Date:
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Friday, April 30
Saturday, May 1
Sunday, May 2
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| Financial Assistance |
The Geometry Festival is supported in part by a grant from the National Science
Foundation. Limited funds will be available for partial reimbursement of travel and hotel
costs for some of the participants. Preference will be given to graduate students and
younger faculty who do not have NSF or other grant or school support.
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| Would you like to request financial assistance?
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Yes, please answer a few more questions
No, you can now this form
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Answer the following questions only if you are applying
for
aid. Otherwise you can now submit this form
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Do you have a grant or other financial
support?
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Yes
No
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Please indicate the year in which you received your Ph.D.
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Student
1999 - 2003
1995 - 1999
Prior to 1995
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What are your estimated transportation costs?
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What are your estimated hotel / housing costs?
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What is your Social Security Number?
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Are you a U.S. Citizen or Permanent Resident?
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Yes,
you can now
this form
No,
please follow a
few more instructions below:
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If you are not a U.S. Citizen or Permanent Resident AND you are applying for financial
assistance, there are additional forms
that must be completed for tax purposes only.
INSTRUCTIONS:
- Click on this link and print out the
forms.
- Fill out all of the required forms completely in blue or black ink. Make sure to
sign your name where necessary.
- Before you arrive at the Courant Institute, make a copy of your visa stamp or sticker
in your passport, and if applicable, a copy of the Form I-94 in your passport, and submit the
entire package at Warren Weaver Hall when you register.
- If you have any questions when filling out the forms, please send an email to
geomfest@cims.nyu.edu
- Click on the submit button below to send the information you have already
entered
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| Form Submission |
When you are ready to submit this form, simply click the submit button below.
Note that the financial section is completely optional. Please make sure that all the
information you have entered is correct. If you have any questions or concerns regarding this
form, feel free to e-mail us at geomfest@cims.nyu.edu. If you are experiencing difficulty with
the form, you may also e-mail the information to geomfest@cims.nyu.edu.
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