Name:
Position:
Faculty
Post-Doc
Student
Affiliation:
E-mail:
Attending workshop?
Confirming attendance
Tentatively attending
Canceling attendance
Dates of Attendance:
From:
Thursday, October 29
Friday, October 30
Saturday, October 31
Sunday, November 1
To (inclusive) :
Sunday, November 1
Saturday, October 31
Friday, October 30
Thursday, October 29
Giving a talk?
Invited to give talk
Would like to (not guaranteed)
Just participating
If yes -
Using:
Blackboard
Computer
Slides
Preferred date:
Tentative title:
Tentative abstract:
Require partial support?
No
Yes
Willing to share a 2-room suite (with separate bathrooms)?
Yes
No
Preferred room-mate:
Please take a few moments to tell us how you learned about the workshop:
Other comments: