Texas Geometry and Topology Conference
Registration Form

To register for the Texas Geometry and Topology Conference hosted by the Department of Mathematics of University of Texas at Austin, please complete and submit this form:

*Last Name: *First Name:
Home Institution:
Address Line 1:
Address Line 2:
City: State:  Zip: 
Work Phone: Home Phone:
*E-mail Address: Fax:
Are you planning to attend the Friday recption? Yes No
Number of people attending the Saturday banquet


Do you wish to
apply for support?		 No 
  Yes    If yes, continue below. (The deadline has passed.)

The Friday evening reception is free.  The Saturday evening banquet is free for graduate students and $20/person for faculty and guests.  We anticipate being able to provide lodging at the conference hotel for graduate students and some junior faculty, on a first-come-first-served basis, with graduate students having priority over junior faculty.   We will make the reservations (2 to a room) and pay the hotel directly.  If you have a preferred choice of roommate, please indicate that below.

We expect to be able to cover some additional travel cost. If enough funds are available, we'll also consider requests by senior faculty.

Application for financial support
Gender:  Female Male 
Position: Senior Faculty Junior Faculty/Postdoc  Grad Student Other: 
Arrival date: Fri Sat AM Sat PM 
Departure date: Sat AM Sat PM Sun 
I need lodging in Austin: Yes    No
(If your answer is yes, we will contact you. A block of rooms is already reserved for conference participants.)
Preferred roomate (optional):
After you complete this form, you will be contacted by Lizbeth Lynch with instructions to confirm your hotel reservation.
Estimated expenses: Airfare: $     *Gas: $     Taxi: $
  • If you plan to drive but not to carpool, note that state law limits your reimbursement to the cost of competitive airfare.
  • For residents of Texas, Arkansas, Louisiana, New Mexico and Oklahoma, driving cost is reimbursed by mileage only, at 50.5 cents per mile, no receipts are required.
  • When carpooling, only the driver will be reimbursed.
Are you a Texas State Employee?  Yes  No
Citizen Info: US
  Permanent Resident  Alien #: 
  Non US Country:  Visa Type: 

If you have special requests, please contact Lizbeth Lynch by email or by phone (512)471-6237. For reimbursements turn in all receipts to Lizbeth Lynch.