Difference between revisions of "Workshop2012:registrationform"

From Gaia Science Alerts Working Group
Jump to: navigation, search
(Created page with "== Registration form == '''If you have already send this form, please do not send it again!''' In order to amend you application or with other queries please email ''gsawg@ast....")
 
 
(One intermediate revision by one other user not shown)
Line 3: Line 3:
 
'''If you have already send this form, please do not send it again!'''
 
'''If you have already send this form, please do not send it again!'''
  
In order to amend you application or with other queries please email ''gsawg@ast.cam.ac.uk''
+
In order to amend you application or with other queries please email ''gsaw2012@gmail.com''
  
 
----
 
----
Line 58: Line 58:
  
 
----
 
----
''' Arrival/departure'''
+
'''Social Dinner'''
  
Please provide us with the dates of your arrival/departure to/from Cambridge:
+
''We plan to have a workshop's dinner on'' '''''Thursday 6th''''' ''in the Osteria la Matta''
{|
 
|-
 
| Arrival:
 
| {{#input:type=text|name=arrival|value=28/06/2011}}
 
| Departure:
 
| {{#input:type=text|name=departure|value=01/07/2011}}
 
|}
 
 
 
----
 
'''Accommodation'''
 
 
 
''We have booked a set of single and double rooms in the nearby Churchill College. If you are interested in this accommodation you will be asked to pay for your stay in advance.''
 
''Alternatively you can book a room in one of the hotels or B&Bs in Cambridge. Check the Logistics page.''
 
 
 
{|
 
|-
 
| I would like to book a room in the Churchill College from 28/06 to 01/07 (contact us if you need to book for other dates)
 
| {{#input:type=select|name=accom_churchill|
 
|-
 
*Please select
 
*yes
 
*no, I'll find accommodation myself}}
 
|}
 
{|
 
| Room type:
 
| {{#input:type=select|name=accom_roomtype|
 
*single at 58 GBP per night
 
*twin at 72 GBP per night}}
 
|}
 
----
 
'''Workshop's Dinner'''
 
 
 
''We plan to have a workshop's dinner on'' '''''Thursday 30th''''' ''in the St.John's Chop House restaurant.''
 
  
 
{|
 
{|
Line 118: Line 85:
  
 
----
 
----
'''Financial support'''
+
'''Funding'''
  
''We are able to provide very limited support for travel or accommodation, mainly for students.''
+
Should you request any funding support, please email us directly with a justification and an estimate of the travel and accommodation costs. The support is available primarily for students and postdocs.'''
 
 
{|
 
|-
 
| I would like to apply for the support:
 
| {{#input:type=select|name=support|
 
*no
 
*yes}}
 
|}
 
  
''Brief (<250 words) justification of your need for financial support. Please include amount of money you would like to apply for (in pounds).''
 
{{#input:type=textarea|name=justification|rows=3|cols=100|style=width:auto}}
 
  
 
----
 
----

Latest revision as of 05:59, 30 July 2012

Registration form

If you have already send this form, please do not send it again!

In order to amend you application or with other queries please email gsaw2012@gmail.com


{{#form: action=http://www.ast.cam.ac.uk/~wyrzykow/cgi-bin/mailer.cgi | method=post}}

Contact details

Title (Mr/Mrs/Dr/Prof): name=dr|cols=5|style=width:auto|rows=1}}
Name: name=name}}
Affiliation: name=affiliation|cols=50|style=width:auto|rows=1}}
Work address: name=address|rows=3|cols=30|style=width:auto}}
Telephone: name=tel|value=don't forget your country code|cols=30|style=width:auto|rows=1}}
Email: name=email|rows=1|cols=20|style=width:auto}}

{{#input:type=hidden|name=wabik}}

Please give a short description of your current research and research interests, as well as a description of how you will contribute to and benefit from the workshop (<400 words) {{#input:type=textarea|name=research|rows=6|cols=100|style=width:auto}}


My contribution to the Workshop: name=contribution|
  • Please select
  • talk
  • poster
  • none}}
Title: name=title|rows=1|cols=100|style=width:auto}}
Brief abstract: name=abstract|rows=4|cols=100|style=width:auto}}

Social Dinner

We plan to have a workshop's dinner on Thursday 6th in the Osteria la Matta

I would like to participate in the dinner: name=dinner|
  • Please select
  • yes
  • no}}

Other

Special dietary requirements (e.g. vegetarian, vegan): name=diet|value=No special dietary requirements}}
Disabled access: name=disabled|value=No special disabled requirements}}

Funding

Should you request any funding support, please email us directly with a justification and an estimate of the travel and accommodation costs. The support is available primarily for students and postdocs.



Now, make sure everything you entered is ok. If form is processed successfully you will receive a confirmation email.


{{#input:type=submit|value=Send}}

{{#formend:}}