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= Required Field
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Please indicate the workshop for which you are applying:
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Workshop:
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Title:
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Name:
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First:
M.I.:
Last:
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Name of Affiliated Organization:
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Department:
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Campus Address:
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Line 1:
Line 2:
Line 3:
City:
State or Province:
Country: Postal code:
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Home Address: |
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Street:
City:
State or Province:
Country:
Postal code:
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Work phone:
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Home phone:
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Fax:
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Email Address:
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Citizenship: |
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Dietary restrictions:
Kosher
Vegetarian |
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Are you a PSC user?
Yes
No
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If yes, give your PSC username:
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Academic Standing (please choose one):
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If you are a student or post-doc, please give the name of your group's adviser (PI): |
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Please explain why you are interested in attending this workshop
and what
you hope to gain from it.
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Briefly describe your computing background (scalar, vector, and parallel programming experience; platforms; languages, etc.; BEST and CMIST applicants please disregard):
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Briefly describe your research interests. (BEST and CMIST applicants please disregard.)
If you attend the workshop,
this information will be published in the List of Attendees, to be
distributed among all participants. If your research is confidential, please
indicate so.
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Gender:
Male
Female
Ethnicity:
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Revealing gender and ethnicity information is voluntary and does not affect your acceptance. This information is used for statistical reporting for grant requests only. Your name and other personal information will not be disclosed. |
