Registration for the 2019 Fields Day @ Queen's University
November 19, 10:30-3:00, Bio Sciences 1102 (presentations) and atrium (lunch and networking)

If you plan to attend the event, please provide us with some information that will help us plan.

Note: We will list the contact information, the description of your research, and your two areas of networking interests in a participant list that all attendees will receive before the event, to facilitate networking.
First and Last Name *
Your answer
Department or School *
Your answer
Email *
Your answer
Please indicate which parts of the event you plan to attend: *
Required
If you plan to attend the lunch, please indicate any dietary restrictions
If you plan to attend the networking lunch and/or the networking session, please describe your research and its relation to mathematics, statistics or computer science **in two sentences**. Your reply will be included in the list of attendees that we'll send to all networking participants ahead of the event.
Your answer
For the networking portion of the event, researchers will be grouped by areas of interest. Indicate the research area in which you would most like to network across disciplines:
Indicate your second choice for networking:
If you plan to attend the networking lunch or session, indicate your primary goals (check all that apply)
Any other feedback you would like to provide:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Queen's Research Services. Report Abuse