Financial Support

Your Name

Name as it should appear in the program (e.g., Maria Smith)

Your Email

Confirmation number of your registration to (WM)^2

Confirmation number of the registration to ICM/(WM)² if already registered (if not please enter 0)

Affiliation institution and country

Affiliation institution, (if in the US or Canada: state or province), and country

Career level

Career level (e.g., graduate student, postdoc, lecturer, assistant professor, etc)

Name of your supervisor (for students and postdocs)

Optional: leave blank if not applicable

Email of your supervisor (for students and postdocs)

Optional: leave blank if not applicable

Have you submitted or plan to submit a poster?

Yes

Please describe why you would like to be a part of (WM)²

Please provide an estimate of how much funding you need to attend (WM)²

Please add also a breakdown of costs (e.g., 400 USD airfare + 300 USD hotel).

Homepage

Optional: Please add the URL of your homepage (or leave blank if not applicable)

Your CV

Please add your CV (only pdf files are allowed)

Please add your CV.
One file only.
64 MB limit.
Allowed types: pdf.

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