National Association of Mathematicians

2008 Faculty Conference on Research

and Teaching Excellence

Hosted by the Bennett College
April 4 - 5, 2008

Registration/Conference Grant Support Form

 

Please Print in Ink or Type the Following Information:
 

Name (Dr. Prof. Mr. Mrs. Ms. ) _______________________________________

Position ____________________________________

Institution _________________________________________________________

Mailing Address ____________________________________________________

City _________________________________________

State ________Zip Code________________

Telephone: Day (____ ) __________________ Evening (____ ) ___________________

E-Mail ___________________________________Fax Number (____ ) _____________

A $25.00 non-refundable registration fee is required for all participants.

Conference Grant Support may be requested to assist with travel and lodging.

Please complete the second page only if you are requesting Conference Grant Support.

 

 

Travel and Lodging Support

Travel and Lodging support is a maximum of $400 to assist with an economical round-trip airfare, a rental car or for a personal car at the rate of $.50 per mile

and lodging.

I wish to travel (check one): by car ______ by air ______

Include airport and city of departure _____________________________________ (required for air)

***Note that there is a major change in the method of support from previous Faculty Conferences.   Out of town participants will book and secure their own transportation and lodging.***

Maximum grant support will be a $400 reimbursement.

I desire full grant supported for travel and lodging ______________________

I desire full grant supported for lodging with double occupancy; my preferred roommate is:

Name ____________________________________________

Institution  _________________________________________.

I do not desire grant support for travel and lodging

 and will make my own arrangements. ________

Signature _________________________________

SSN (Required for funding)_______________________

Applications should be faxed and/or mailed with registrations fee to before March 14, 2008:

Dr. Leon Woodson
Dept. of Mathematics
Morgan State University
Baltimore, MD 21251
FAX number (443) 885-8216