MARGINS Distinguished Lecture Series
Application Form

If you need to update your application, please do not use this form. Please contact the MARGINS Office directly. If you do not receive email confirmation of having received your application by September 10th, 2010, please contact the MARGINS Office.
Applications Close September 7, 2010


Department: Institution:

Address: Contact Name
E-mail
Telephone
Fax

Speaker(s) of interest (You may select either one or both lecture types for each speaker):
 




 

lecture

lecture


Anticipated audience for technical lecture (Check all that apply):
Undergraduates Masters students Graduate students
Research staff Faculty

Other
Please specify:


Would the lecture(s) be part of a lecture series at your institution?
  Technical lecture
Series title:
Public lecture
Series title:

Dates preferred*: Dates unacceptable:
 

1:

2:

3:

 

1:

2:

3:


Does your school serve a student population drawn significantly from groups that are under-represented in the Geosciences?


If so, which groups?

*Please note:
Speakers will generally be available January-June, 2011. Please see information for each speaker to determine their specific availability.

Reasons for interest (e.g., student/faculty research areas; related classes; general intellectual stimulus; etc.):

Description of venue for public lecture if applicable, indicating capacity, means of advertising, and typical attendance:

Comments or questions:

How did you hear about the MARGINS Distinguished Lectureship Program?
If other, please specify:

OR



If you experience any problems with this form, please contact the MARGINS Office.

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MARGINS is an NSF funded program

The MARGINS Office is Hosted by Columbia University

Last updated Thursday, June 10, 2010