Lehigh University Geometry and Topology Conference

Request for Travel Support

We anticipate that we will have funds to help cover expenses for many of the participants. Priority for support will be given to graduate students, recent Ph.Ds, and members of underrepresented groups, who are especially encouraged to attend. If you wish to request travel support for the conference, please submit this form by May 10. If you have difficulty with this form, send an e-mail explaining your expected expenses and indicating your institution and current circumstances.

This form is not a formal submission for reimbursement. Forms will be available during the conference to submit receipts (we must have original receipts, no copies or e-mail attachments except airline e-tickets). Those who are not U.S. citizens will also need to provide copies of either their permanent resident cards, or passport, visa, and I94 forms.

Name:

Email Address:

Institution:

Position:

Please use the space below to tell us a little about your background and mathematical interests. If you are a graduate student, include your adviser's name and your expected graduation date, and ask your adviser to send a brief recommendation.

Please list your anticipated expenses. Travel reimbursement will be made for actual expenses up to $300 (higher only if funds are available); this information is only an estimate.


Last Modified June 10, 2013 by David Johnson dlj0@lehigh.edu.

David L. Johnson
14 E. Packer Avenue
Department of Mathematics
Lehigh University
Bethlehem, PA 18015-3174

Telephone: (610) 758-3759