Brauer groups and obstruction problems: moduli spaces and arithmetic

February 25 to March 1, 2013

Application Form
Deadline: October 25, 2012

You will receive an email confirmation of your application.
If you do not receive a confirmation then your application has not been successfully saved and you should resubmit your application!

If you have any questions, please email workshops@aimath.org.

Part 1: Biographical information:

First Name(s): 
Middle Name(s): 
Last Name(s):    Suffix (Jr, Sr, III, etc.):  
Email address: 
Affiliation: 
 
(your University, Company, etc)

Part 2: References:
Please provide the names of one or two researchers who are familiar with your research. Graduate students should include their advisor as a reference. Your references are merely intended as contacts for applicants who are not already known to the organizers. We will not solicit recommendation letters from your references.
Reference 1:   
Email address  
or affiliation: 
  
Reference 2:   
Email address  
or affiliation: 

Part 3: Personal statement:
In the space below, please describe your reasons for wishing to participate in this workshop. Aim your discussion at researchers who are not experts in your field.
You should address what benefits you expect from participating in this workshop, and/or, what contributions you can bring to the workshop.

Graduate students and recent PhD's please give the name of your advisor and the year (or expected year) of your PhD. It may be helpful to give the url of your home page.

Write your statement on your local machine, then paste the text into the space below.
Statement:   
(Just plain text. No TeX commands.)


Part 4: Optional Information:

How did you find out about this workshop?

Please assist us in our reporting requirements to the NSF by providing the following information.

Gender:  Race/Ethnicity:  


You will be asked to confirm your information before final submission.