Registration Form

Personal Information
Course Preferences
Academic Sponsor (Students Only)
Application for Financial Support
Accommodation
T-Shirt
Consent
Submission of Application

Registration is closed.

To apply for the Summer School please provide the information below. Your application will be assessed and an invoice will be sent to you if the application is successful.

Second round applications for participants from Australia and New Zealand close 18 December 2006. Registration for international students is closed now.

The registration fee will be AU$143 for students from AMSI member institutions and full time students enrolled at an institution which is a member of the Pacific Rim Mathematical Association (PRIMA), for all others it will by AU$715. Once accepted you will receive an invoice.

Personal Information

Starred fields are mandatory.

Surname*
Other Names*
Preferred Name tag
Gender*	Male Female
University/Institution*
Department*
Country*
E-Mail Address*
Telephone
Mobile Phone
Postal Address
Status*	(select)
If other please specify

Course Preferences

Please list the major topics covered in your mathematics studies and/or research in 2006.

Indicate which courses you wish to attend. The recommended number is two four week courses.

Academic Sponsor (Students Only)

Starred fields are mandatory for all students.

Surname*
Other Names*
University/Institution*
Department*
Country*
E-Mail Address*
Telephone
Status*	(select)
If other please specify

Application for Financial Support

Before applying for one of the subsidies available read the information on financial support. Note that students from the Sydney metropolitan area are not eligible for travel and accommodation subsidies.

Application for financial support (select)

Accommodation

I require accommodation at Sancta Sophia College (Breakfast and dinner included).

Expected arrival date (select)

Expected departure date (select)

Write comments including dietary requirements in the space below.

T-Shirt

Free T-shirt on arrival (please specify size) Medium Large XLarge

Consent

I am aware that ICE-EM may video record parts of the Summer School for publicity purposes and/or for educational use. I agree:

to voluntarily participate in the Summer School;
to allow ICE-EM and its authorised representatives to use any recording of myself for promotional and education purposes;
to allow my contact details to be given to ICE-EM and the Australian Mathematical Sciences Institute.

Submission of Application

Once you have filled in your form you can submit your application by pressing the button below.

Alternatively you can print the form (PDF) and fax it to +61-2-9351 4534 or mail to

ICE-EM/AMSI Summer School
School of Mathematics and Statistics
The University of Sydney
Sydney NSW 2006
Australia

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The Summer School is hosted by

Sponsors: