Registration for Interactions in Complex Geometry 2021

Name Name First Last
Institution
Current Position
If you are a graduate student, who is your advisor?
Gender
Ethnicity
Would you like to apply for funding?

Would you like to apply for funding? Yes No
Citizenship
Visa type, if applicable
Estimated travel costs: transportation and hotels
Do you have access to other sources of funding? If so, please briefly describe
Do you still plan to attend if we can only offer partial travel support?

Do you still plan to attend if we can only offer partial travel support? Yes No
Year PhD received or expected
In accordance with CDC guidelines, Vanderbilt University has instituted a number of protocols to ensure the health and safety of its community, including protocols for visitors. A full list of those updated protocols can be found here https://www.vanderbilt.edu/coronavirus/community/visitors-and-suppliers/. In particular, please note that as of Monday, Aug. 2, all visitors coming to Vanderbilt’s campus must wear a mask indoors, whether vaccinated or unvaccinated. Please indicate your agreement with the following statement.

"During my visit to Vanderbilt, I will abide by all health and safety protocols applicable to visitors as directed by the university."

In accordance with CDC guidelines, Vanderbilt University has instituted a number of protocols to ensure the health and safety of its community, including protocols for visitors. A full list of those updated protocols can be found here https://www.vanderbilt.edu/coronavirus/community/visitors-and-suppliers/. In particular, please note that as of Monday, Aug. 2, all visitors coming to Vanderbilt’s campus must wear a mask indoors, whether vaccinated or unvaccinated. Please indicate your agreement with the following statement. "During my visit to Vanderbilt, I will abide by all health and safety protocols applicable to visitors as directed by the university." Agree