RHIC '98 Application Form

Use this form to apply for the RHIC '98 Summer Study. Please fill in all requested fields and select all the options. When you are satisfied with your responses, click the "Send" button at the bottom of the form. (A "Reset Form" button is also found there.)

The Summer School will cover local expenses, which includes a modest per diem plus housing, such as in a dorm room.

Name (Mr./Ms.)(First/Middle Initial/Family):

Organization or Affiliation:

Most advanced degree/date awarded:
Research Focus: Theory Experiment
Organization Address:

Telephone number:
Fax number:
E-mail address:
Visa Status: U.S. Citizen/Permanent Resident J-1 F-1 H-1B B-1 B-2, W/B
Arrival/Departure Information:
Arrival date/time: /
Departure date/time: /
Do you require housing on site? (yes or no): Yes No

Optional- title and subject of short presentation, if time allows:

.
This page was written by Liz Mogavero
The last update was on February 5, 1998.