https://gsawg.wiki.ast.cam.ac.uk/index.php?title=Workshop2013:registrationform&feed=atom&action=history
Workshop2013:registrationform - Revision history
2024-03-29T13:10:05Z
Revision history for this page on the wiki
MediaWiki 1.35.14
https://gsawg.wiki.ast.cam.ac.uk/index.php?title=Workshop2013:registrationform&diff=1396&oldid=prev
Lukasz at 20:16, 25 May 2013
2013-05-25T20:16:36Z
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:16, 25 May 2013</td>
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Lukasz
https://gsawg.wiki.ast.cam.ac.uk/index.php?title=Workshop2013:registrationform&diff=1345&oldid=prev
Lukasz: 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 ''gaiascienc..."
2013-04-19T14:25:19Z
<p>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 ''gaiascienc..."</p>
<p><b>New page</b></p><div>== Registration form ==<br />
<br />
'''If you have already send this form, please do not send it again!'''<br />
<br />
In order to amend you application or with other queries please email ''gaiasciencealertsworkshop2013@gmail.com''<br />
<br />
----<br />
<br />
{{#form: action=<nowiki>http://www.ast.cam.ac.uk/~wyrzykow/cgi-bin/mailer.cgi</nowiki> | method=post}}<br />
<br />
'''Contact details'''<br />
<br />
{|<br />
|-<br />
|Title (Mr/Mrs/Dr/Prof):<br />
| {{#input:type=textarea|name=dr|cols=5|style=width:auto|rows=1}}<br />
|-<br />
|Name: <br />
| {{#input:type=text|name=name}}<br />
|-<br />
|Affiliation:<br />
| {{#input:type=textarea|name=affiliation|cols=50|style=width:auto|rows=1}}<br />
|-<br />
|Work address: <br />
|{{#input:type=textarea|name=address|rows=3|cols=30|style=width:auto}}<br />
|-<br />
| Telephone: <br />
| {{#input:type=textarea|name=tel|value=don't forget your country code|cols=30|style=width:auto|rows=1}}<br />
|-<br />
|Email: <br />
|{{#input:type=textarea|name=email|rows=1|cols=20|style=width:auto}}<br />
|}<br />
<br />
{{#input:type=hidden|name=wabik}}<br />
<br />
''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)''<br />
{{#input:type=textarea|name=research|rows=6|cols=100|style=width:auto}}<br />
<br />
----<br />
{| <br />
|-<br />
| '''My contribution to the Workshop:''' <br />
|{{#input:type=select|name=contribution|<br />
*Please select<br />
*talk<br />
*poster<br />
*none}}<br />
|}<br />
<br />
{|<br />
|-<br />
| Title: <br />
| {{#input:type=textarea|name=title|rows=1|cols=100|style=width:auto}}<br />
|-<br />
| Brief abstract: <br />
| {{#input:type=textarea|name=abstract|rows=4|cols=100|style=width:auto}}<br />
|}<br />
<br />
----<br />
'''Social Dinner'''<br />
<br />
''We plan to have a workshop's dinner on'' '''''Thursday 20th''''' <br />
<br />
{|<br />
|-<br />
| I would like to participate in the dinner: <br />
| {{#input:type=select|name=dinner|<br />
*Please select<br />
*yes<br />
*no}}<br />
|}<br />
----<br />
'''Other'''<br />
<br />
{|<br />
|-<br />
| Special dietary requirements (e.g. vegetarian, vegan):<br />
| {{#input:type=text|name=diet|value=No special dietary requirements}}<br />
|}<br />
{|<br />
|-<br />
| Disabled access: <br />
| {{#input:type=text|name=disabled|value=No special disabled requirements}}<br />
|}<br />
<br />
----<br />
'''Funding'''<br />
<br />
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.'''<br />
<br />
<br />
----<br />
'''Now, make sure everything you entered is ok. If form is processed successfully you will receive a confirmation email.'''<br />
----<br />
<br />
{{#input:type=submit|value=Send}}<br />
<br />
{{#formend:}}</div>
Lukasz