Application for CanaDAM 2011 Graduate Student / Postdoctoral Fellow Funding

To be considered for partial funding, the information requested in items 1-10 below must be sent in a single pdf document to mynhardt@math.uvic.ca (use Subject: CanaDAM funding request) by March 7, 2011.

Please ensure that all of the required information is included; incomplete applications will not be considered. Priority will be given to students and postdoctoral fellows from Canadian universities.
1. Name (Last, First)
2. Institution and Department.
3. Institution's Address; Province/State; Postal code; Country
4. E-mail address
5. Supervisor's name
6. If you are a graduate student, indicate the degree sought and the expected date of completion. If you are a postdoctoral fellow, indicate when your fellowship appointment ends.
7. Indicate whether you will be giving a talk or not, and if so, its title.
8. Projected Eligible Expenses:
- Travel (indicate means of transportation and cost);
- Accommodation (indicate where you are staying and the total cost; indicate your portion of the expenses only if sharing)
9. Indicate the financial support from all other sources that you will be receiving for expenses related to the CanaDAM 2011 conference.
10. If you are not giving a talk, a letter from your supervisor explaining why it will be a valuable experience for you to attend the CanaDAM 2011 Conference must be sent to mynhardt@math.uvic.ca (using Subject: "CanaDAM letter of support for NAME").

We will let you know by March 28, 2011, whether funds have been allocated for your expenses. In order for you to be reimbursed, you will have to submit necessary receipts together with an expense claim form within four weeks of the end of the conference. The expense claim form will be available at the registration desk of the CanaDAM 2011 conference.