|
Application formAll participants should complete
Sections 1 to 3.
Requests for financial support will be decided upon after
close of application period on January 10.
Registration fee
£30 (academics), £200 (non academics) |
| Subject |
|
Section 1 |
Personal Details |
| Last
Name |
|
| First
Name |
|
| Title |
|
| Email |
|
| Institution |
|
| Department
and Institution's Address |
|
| Telephone |
|
| Special
requirements |
Please specify any special dietary or
other requirements
|
Section 2 |
Accommodation & Meals |
| Meals |
The only meal for which there is an option
is the conference dinner on Thursday 3rd April. The cost of the dinner is
£25. Please indicate below if you wish to attend.
Please reserve me a place at the conference dinner.
I do not
wish to attend the conference dinner. |
| Accommodation |
Choose one of the following two
options and complete the appropriate fields for dates and room type. |
Option
1
Own Accommodation |
I will arrange
my own accommodation.
Non-residential Fee £55
I intend
to take part in the meeting from
(day of the week)
(date i.e. dd/mm/yy)
to
(day of the
week)
(date i.e.
dd/mm/yy) .
(Now go to Section 3) |
Option
2
Pollock Halls Reservation |
Please reserve accommodation and evening meals for me at Pollock Halls.
I
expect to arrive on
(day of
the week)
(date i.e.
dd/mm/yy)
and leave on
(day of the week)
(date
i.e. dd/mm/yy) .
[Note that we may not be able to arrange accommodation
before Sunday 30 March or after Saturday 5 April. Please also note that we
cannot guarantee accommodation at Pollock Halls for all participants. Rooms
will be allocated on a first-come-first-served basis.]
Tell us what
kind of room you wish to book by choosing one of these options
I
would like
a standard single room.
leaving 5 April,
£230; leaving 6 April, £255
a single room with private bathroom.
leaving 5 April, £315; leaving 6 April, £353)
(If you
have any particular requirements, e.g. for a double room, we may be able to
help. Send a supplementary email to icms@maths.ed.ac.uk.)
(Now go to Section 3) |
|
|
Financial InformationPlease choose one of the
following three options: |
|
I am an invited speaker.
I have sufficient funds to cover my workshop costs, please
invoice me. (Check here
for details of the costs implied by your completion of Section 2. This will
open in a new window; close it to return to this form and there will be no need
to complete the form again.)
In order to attend the meeting, I require some of my workshop costs to be
covered.
I estimate the amount required to be
GBP.
(Check
here for details of the
costs implied by your completion of Section 2. This will open in a new window;
close it to return to this form and there will be no need to complete the form
again. NB there is no provision for travel costs.) |
Section 4 |
Presentations Please choose one option and
complete the boxes below. |
|
I am an invited speaker.
I would like
to be considered to give a contributed talk. |
| Title |
|
| Abstract (150
words max) |
|
| Audio-visual
equipment required (other than blackboard) |
|
|
|
