Application for the "Semester on 4-manifolds and their combinatorial invariants"

To apply/register for participation in the "Semester on 4-manifolds and their combinatorial invariants" [1] please fill this form carefully and press submit. Upon successful submission you will receive a confirmation message to the email address you fill in below. If you are a graduate student or post-doc another email will be sent to the person you name as a supporter of your application, who can then upload a letter of support.

Fields marked with a red asterisk are mandatory.

First name: *

Please enter your first name.

Last name: *

Please enter your last name.

Affiliation: *

Please enter your affiliation as you would like it to appear on the list of participants.

Email: *

Please enter a valid email address. All correspondence will be sent to this address.

Application details: *

Senior scientist or invited speaker

Post-Doc

Graduate student

I need financial support

Please select your career status and whether you need financial support through the MPIM.

Would you like the MPIM to arrange accomodation for you?: *

No, I will arrange for my accommodation.

Yes, furnished appartment.

Yes, hotel room.

Arrival date: *

Please specify the date of your arrival.

Departure date: *

Please specify the date of your departure.

Curriculum Vitae & Publications:

Please upload your CV including a list of publications (if applicable) as a PDF file.

PhD Advisor:

Please enter the name of your academic advisor.

Letter of Support

Please name someone who will provide a letter of support for your application.

Full Name of Referee:

Please enter the full name of your referee.

Email of Referee:

Please enter a valid email address of your referee. Once you submit this form an email asking for a letter of support will be sent to this address.

Further comments:

Further comments or remarks can be added here.