National Institute of Statistical Sciences

Short Course on Computer Experiments
November 7-8, 2002

On-Line Application

 

To apply to attend the Short Course, please fill out the form below, and then click the SUBMIT APPLICATION button. Items in red are required. Following submission, a confirmation of your application will be displayed. Please print a copy for your records.

Applications will be reviewed on a rolling basis, with all decisions made by October 15, 2002.

Applicant Information

Name

Title

Organization

Address

City State Zip Code

Telephone (Format: xxx-yyy-zzzz)

FAX (Format: xxx-yyy-zzzz)

E-mail

URL

NISS Affiliate Status

Check this box if your organization is a NISS Affiliate. Each Affiliate is guaranteed attendance of one person, with more permitted on a space-available basis. There is no charge for personnel from NISS Affiliates; for all others, the fee for the course is $1000.

Affiliates Reimbursement Accounts

Check this box if you plan to request reimbursement from your NISS/SAMSI Reimbursement Account.

Graduate Students Only

Please check the box below, and in the "special request" block, identify your advisor and dissertation topic.

I am a graduate student.

Special Requests

If you have special requests (such as dietary restrictions), please enter them below. Other questions should be sent by E-mail to cesc-info@niss.org.

Submission

 

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