Application Form
Dear Applicants,

To apply for the Summer School on CMB Detectors and Instrumentation, please complete the online form below.

Registration deadline: May 17, 2017.

A brief letter of recommendation is required and should be submitted by you referee via the Reference Form.

You will receive a confirmation of your submission via email within 5 business days. If you have questions, please contact us at School2017@box.uchicago.edu.
Last Name (required)
First Name (required)
E-mail (required)Please make sure that email you provided is correct
Mailing Address (required)
Phone
Comments
HousingAccommodation will be provided, free of charge, at the Max Palevsky Residential Commons of the University of Chicago.
Do you need housing?
no
yes
Gender
male
female
Travel SupportOnly a limited amount of funds are available for travel assistance
Do you need travel support?
no
yes
Amount requested, $
Justification for travel support
Graduate Study
Current Affiliation/Institution (required)
Year in graduate study
Your research (required)
Short paragraph on why you would like to attend the summer school (required)
Recommendation LetterA brief letter of recommendation is required and should be submitted by you referee via the Reference Form