ACNS Request for Travel Reimbursement

College Park, Maryland June 6 - 10 , 2004

Request for Travel Reimbursement

The ACNS anticipates being able to partially support the travel expenses of some conference participants. Preference will be given to graduate students, postdocs, and junior faculty in the U.S, but others will be considered as funding permits. If you wish to request travel support, please fill out the application form below. Support decisions for registrants applying by April 30 will be conveyed to applicants by May 14.

Later applications will be considered as time and funds permit.

Reimbursement checks will be available at the conference. Please note that the registration fee must be paid in advance; support requests may include the registration fee.

Questions concerning travel support may be directed to Professor David Belanger dave@dave.ucsc.edu.

Please complete the form below to request travel support. When complete, click on the submit button to transmit the information.

Name:
Institution:
Department:
Position (graduate student, faculty member, etc.):
Mailing Address:
E-mail address:
Phone Number:
Fax Number:
Brief description of research interests involving neutrons:
Brief justification of need for funds to attend conference (e.g., student travel funds unavailable or grant funds insufficient or not available, etc.) :
Please itemize approximate amount of supplemental support required (please use Saturday-night-stay airfares if significantly less expensive):
If you are a student, please provide the following information:
Name of degree program:
Anticipated graduation date:
Name of advisor:

Last modified 12-June-2004 by website owner: NCNR (attn: Bill Kamitakahara)