Name: *

Institution: *

Department: *

Position: *

Address 1: *

Address 2:

City: *

State:

Zip code: *

Country: *

Email: *

Telephone number(s): * (please include country code, eg +1-xxx- etc)

Anticipated dates (yyyy-mm-dd) of arrival * and departure *

Time of arrival in Hanover (if known):

URL/website (if available):

Research interests (keywords): *

Thesis advisor (students only):

Do you wish to present a poster? * yes no

Are you interested in presenting a 50-minute talk if a slot is available? * yes no
(Please note: In order to keep substantial time open for informal discussions, we are scheduling only a very small number of talks on each of the conference themes.)

Title and abstract of poster or possible talk:

Will you apply for a visa? yes no (Please see link here for information about new U.S. visa requirements.)

Do you need a letter of invitation? yes no

Will you be applying (or have you already applied) for travel support? * yes no
Note: Applications for travel support are to be submitted by e-mail. You will find instructions here.

Accommodations and local information

Would you like to reserve a room in the Rauner Residence Hall? * yes no
(Pending final approval of funding, we anticipate that there will be no housing fee for participants who choose to stay in the residence hall.) See here for more information about dorm-style accommodation).

We anticipate that most, and perhaps all, participants will have a private room or suite. However, depending on the number of participants, some people may be asked to share a two-bedroom suite with another participant. You may choose to indicate here the name of a person with whom you would like to share a suite should it be necessary:

If you will be accompanied in the residence hall by family members that are not conference participants, please indicate the number of additional guests here:
(There will be a charge of $51 per night for each additional guest, payable in advance online or by check upon arrival in Hanover; we will email you with information about this in the coming weeks. Please note that we will not be able to process credit cards at the registration desk. If you have more than one additional guest, please explain your plans in the Comments box below.)

If you prefer to stay in a hotel, please make your own arrangements. See here for hotel information.

Will you need a campus parking permit? * yes no

Would you like to purchase a Dartmouth Athletic Facilities pass? yes no
(The cost is $5 per day but can only be purchased for the full length of the conference. Aside: If you are staying in the Marriott Residence Inn or Marriott Courtyard, you will have free access to the River Valley Club, a large fitness center.)

Number of people attending banquet: *
(The cost is $30 per person; enter 0 if you won't attend, enter 1 if you alone will attend, enter more if you have family who will also attend)

Comments or questions:

(Include here any dietary needs, comments or questions concerning accompanying family members, or any other concerns.)

Verification Code

To prove you are a human being, you must enter the lowercase letters shown below in the field on the right. Thank you for your understanding!

* Listen To This