* Name:

* Email address:

* Institution with which you are affiliated (at the time of the conference):

* Position held (eg. Graduate Student, Professor, etc.)

If you are a graduate student or a recent Ph.D., who is/was your Ph.D. advisor?

Participants are responsible for making their own hotel reservations, but if
you would like help in finding a roommate, please write, "need a roommate"
in the blank provided.
¥The deadline for reserving Snowbird lodging at the special conference rate is April 30th.

Does your attendance at the conference depend upon receiving funding
from the conference committee?  (Funding needs are addressed below.)

Funding is available though a grant from the NSA, and we will be able to
offer limited support to some participants.  Please indicate need and
other sources of support.  Graduate students, junior faculty, women, and
minorities are especially encouraged to participate and to apply for
support.

Any additional comments?

* Required fields.