Participate - Graduate Students

ICERM welcomes applications from graduate students who wish to spend between 6 weeks and one semester at ICERM to participate in one of our semester-long programs. ICERM will provide shared offices, shared desks and shared computers; support for local expenses may be provided. The research interest of visiting graduate students should relate to the semester program. Applications may be submitted at any time until the end of the semester program and will be considered as long as funds and space remain available.

Select Semester Program:

Full consideration will be given to applications for:
Low-dimensional Topology, Geometry, and Dynamics (Fall 2013 Semester Program) received by December 1, 2012 (Early Consideration)
March 15, 2013 (Normal Deadline) All applications received after March 15, 2013 will be reviewed on a rolling basis as funding and space allows

Short Curriculum Vitae, including publications, in PDF format (less than 2.5MB):
Personal statement that describes your research interests and plans, and your reasons for wishing to participate; in PDF format (less than 2.5MB):

First name:
Middle name:
Last name:

Organization:
Department:
Street address (line 1):
Street address (line 2):
City:
Zip or postcode:
State (if in the US):
Country:
E-mail:
Homepage URL (if available):
Phone:
Fax:

Country of citizenship:
Country of residence:
If not a US citizen, are you a US permanent resident?:	Yes No

Highest educational degree:
Year awarded:
Institution:
Primary area of highest degree:

Gender:	Male Female Decline to report
Race/Ethnicity (check all that apply):	American Indian or Alaskan Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Decline to report race/ethnicity

Please state the proposed start and end dates of your visit. Your residency should fall in the period of the selected semester program; extensions into the preceding or following summer or winter may be requested if justified.

Proposed arrival date:
Proposed departure date:
Daily Parking Reservation ($):	Yes No

Funding is limited. If you require funding to participate, please indicate so below and provide a brief justification in the textbox provided.

Please indicate if you are requesting funding:	Not requesting funding Lodging Travel Lodging and Travel
Describe any other support for this travel you will be receiving or have applied for:

Note: In addition to completing this form, you need to ask your advisor to provide a statement of support by email to applications@icerm.brown.edu. The subject line of your advisor's email should read "Statement of Support for <your name>".

Name of your PhD advisor:
Please indicate whether your PhD advisor plans to be an ICERM visitor during your proposed stay:	Yes No Not known
Please list any other comments or special requests you may have:

Please check that you have completed all required entries before submitting this form.

Submit form: Clear form:

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