GSCP Registration Form

Graduate Student Conference in Probability

April 13-15, 2007
Department of Mathematics
University of Wisconsin-Madison

Name:
Affiliation:
What year in graduate school are you?
Do you have an advisor?
If you have an advisor, who is it?
Postal Address:
E-mail:
Website:
Phone Number:
Emergency Contact Info:
Mode of Travel to Madison:
What nights will you stay in Madison?	April 13 April 14 April 15
Would you like us to find you a roommate?
If so, what is your gender?
Would you like to give a talk?
If yes, a 20 or 40 minute talk?
If you are planning to give a talk, what is your title?
If you are planning to give a talk, what is your abstract?
Would you like to be considered for support from the conference?
If you are requesting support, what is the approximate cost of your travel?


If you are requesting support, please fill out the "visitor information" section of this form, print the form, and bring it with you to the conference.