AGNES Yale Spring 2016 Registration Form
Registration for AGNES (April 8-10) and for the Women@AGNES workshop (April 8)
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First Name *
Last Name *
Institution *
Current position *
Email *
Gender
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Please check the boxes corresponding to the events that you are planning to attend *
Required
Hotel Accommodations
Dear participant please note that the registration deadline (March 13) has passed. You can still register and participate of AGNES Spring 2016 but you are responsible for arranging your own hotel accommodations.

Junior participants (graduate students and postdocs) arranging their own accommodations will be reimbursed up to half the regular room rate (on the assumption that they are sharing a room). Please see the AGNES 2016 website for suggested hotels:

https://sites.google.com/site/agneshomepage/yale-2016/hotels 

Those with a valid reason to stay in an individual hotel room should contact the organizers (agnes.yale.2016@gmail.com) in advance to request an exemption to our room sharing policy.
Lodging and traveling funding
Please estimate the dollar amount of your travel expenses (bus fare, mileage, ferry, etc.) that you would like us to cover:
We will reimburse a limited number of airfares for participants from outside the northeastern US, as funding permits.  If you are traveling by air and requesting reimbursement, please contact the AGNES Spring 2016 organizers (agnes.yale.2016@gmail.com) for approval before purchasing your ticket.
Do you have travel funds to cover your lodging and travel expenses in case we are not able to offer you travel support?
If yes, please estimate the amount you will receive from other sources. Our funding priorities are to support graduate students and postdocs.
Conference Dinner on Saturday Night
AGNES 2016 will have a conference dinner on Saturday night and we would like all participants to be able to attend. There is a dinner participation fee ($10 graduate students and postdocs, $20 faculty). For those attending the dinner, the fee can be payed by credit card (recommended) or by either cash or check during the conference. We recommend that those attending the dinner pay the fee in advance by credit card using the link below (the link opens in a new window).

https://sites.google.com/site/agneshomepage/yale-2016/dinner

This link is also posted at all times on the AGNES 2016 website.
Will you attend the conference dinner on Saturday night? *
If your answer is yes, please do not miss the link above that you can use to pay your dinner participation fee.
If you are attending the dinner, do you have dietary restrictions?
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If you have any comments or suggestions, please write them here:
For graduate students attending for the first time:
Are you a graduate student attending AGNES for the first time?
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If you are a graduate student and this is your first time attending AGNES, please enter the name of your advisor in the box below and and have your advisor send a short (one paragraph) letter of recommendation to the organizing committee.
The letter of recommendation should be sent to agnes.yale.2016@gmail.com
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