54^th Midwest PDE Seminar Registration Form

In order to register for the 54^th Midwest PDE Seminar hosted by Wayne State University, please complete and send it back by E-mail to: midwpde@math.wayne.edu or fax it to 313-577-7596.

Your Contact Information

 

Name
Address
City
State
Zip Code
Country
Email Address
Phone Number
Fax Number

 

Your Affiliation:

 

Your Professional Background

I am a    Faculty Member   Post Doc   

Graduate Student         

Other

 

Please briefly describe your research interests relevant to this conference. If you are a graduate, please describe

briefly your work of dissertation.

Requests for Financial Support:

Requests for financial support should be accompanied by a brief vita and statement of research interests which can be sent to midwpde@math.wayne.edu by E-mail or fax it to 313-577-7596.  Graduate students requesting for funding should ask their advisors to send an E-mail message to midwpde@math.wayne.edu with a brief recommendation. We intend to support some graduate students, young post-doctors with double shared rooms at St. Regis Hotel for two nights (Friday and Saturday) with no cost (depending on the availability of funding).  Due to the limited funding, we are not able to provide any travel support. Women and people from underrepresented groups are particularly encouraged to apply.

   

If some of you prefer to stay in a room alone and pay half of the expenses, please check here  Yes  

 Consideration of applications will begin immediately.