Interactions Between Representation Theories, Knot Theory, Topology, and Mathematical Physics
Application for Financial Support

You may fill out this online form and submit it here; you may print it, fill it out, and mail it to the address below (no later than June 2, 2003); or you may print it and fax it to Kazem Mahdavi at 315 267 2806.

Kazem Mahdavi
Dept. of Mathematics
SUNY Potsdam
44 Pierrepont Ave.
Potsdam NY  13676

If you have questions or would like to request a paper copy of the form, you may call 315 267 2095 or email mahdavk@potsdam.edu

Graduate students, and recent Ph.D.'s (1997 or later) will be given priority.

Please fill out the form or return to the Conference Page

First and last name:

Email:

Address:

Phone number:

University affiliation:

Field(s) of interest:

Are you:

Graduate student
Recent Ph.D. (1997 or after)
Other

to topPlease explain why you want to attend this conference:

Please tell us about your expenses:

Transportation:

Housing and meals:

Registration:

Total cost to you to attend the conference:

Funding received from sources other than Potsdam:

Funding requested from SUNY Potsdam:

By submitting this form, I certify that the information provided above is correct to the best of my knowledge

Thank you for applying for financial support.

 

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44 Pierrepont Ave.
Potsdam NY 13676

Page maintained by K. Mahdavi
Last reviewed 02/24/03
URL: http://www2.potsdam.edu/mahdavk/fina.htm