Workshop2010:applicationform

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Application for an invitation to the Workshop

Registration is not yet open!

If you have already send this application, please do not send it again!

In order to amend you application or with other queries please email gsaw2010@ast.cam.ac.uk


{{#form: action=http://www.ast.cam.ac.uk/~wyrzykow/cgi-bin/mailer.cgi | method=post}}

Contact details

Title (Mr/Mrs/Dr/Prof): name=dr|cols=5|style=width:auto|rows=1}}
Name: name=name}}
Affiliation: name=affiliation|cols=50|style=width:auto|rows=1}}
Work address: name=address|rows=3|cols=30|style=width:auto}}
Telephone: name=tel|value=don't forget your country code|cols=30|style=width:auto|rows=1}}
Email: name=email|rows=1|cols=20|style=width:auto}}

{{#input:type=hidden|name=wabik}}

Please give a short description of your current research and research interests, as well as a description of how you will contribute to and benefit from the workshop (<400 words) {{#input:type=textarea|name=research|rows=6|cols=100|style=width:auto}}


My contribution to the Workshop: name=contribution|
  • Please select
  • talk
  • poster
  • none}}
Title: name=title|rows=1|cols=100|style=width:auto}}
Brief abstract: name=abstract|rows=4|cols=100|style=width:auto}}

Accommodation

We have booked a set of single and double rooms in the nearby Churchill College. If you are interested in this accommodation you will be asked to pay for your stay in advance. Alternatively you can book a room in one of the hotels or B&Bs in Cambridge. Check the Logistics page.

I would like to book a room in the Churchill College name=accom_churchill|
  • Please select
  • yes
  • no, I'll find accommodation my self}}
Requested from date: name=accom_from|value=23/02/2010}} Check-out date: name=accom_checkout|value=25/02/2010}}
Room type: name=accom_roomtype|
  • single at 60 GBP per night
  • twin at 75 GBP per night}}

Workshop's Dinner

We plan to host a workshop's dinner on Wednesday 23th in one of the Cambridge colleges. The estimated cost would be 50 GBP.

I would like to participate in the dinner: name=dinner|
  • Please select
  • yes
  • no}}

Financial support

We are able to provide limited support for travel or accommodation, mainly for students.

I would like to apply for the support: name=support|
  • no
  • yes}}

Brief (<250 words) justification of your need for financial support. Please include amount of money you would like to apply for (in euros). {{#input:type=textarea|name=justification|rows=3|cols=100|style=width:auto}}


Now, make sure everything you entered is ok. If form is processed successfully you will receive a confirmation email.


{{#input:type=submit|value=Send}}

{{#formend:}}