Gökova Geometry Topology Institute

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=== Application form ===

Using this form you may apply to attend an event or organize a new one. Note the annual Gokova Geometry-Topology Conference has its own application page. Please do not apply to that conference using this form.


<form>
Action  mail ggti@gokovagt.org eylem.yildiz@duke.edu akbulut.selman@gmail.com
Thanks  "Thanks for submitting your application."

Fieldset "Personal information"
Textbox  "Full name"
Textbox  "Affiliation"
Textbox  "Position and title"
email    "Your e-mail address" @@


fieldset "Event information"
select   "Purpose of application" "Select| Attending an event|Organizing an event| Visiting GGTI"
select   "Financial support" "Select | I don't require funding | I require funding for travel| I require funding for accommodation| I require funding both for travel and accommodation"
Textbox  "Event name" !
date     "Arrival date"
date     "Departure date"

fieldset "Only/Mandatory for students."

Textbox  "Department/Program "!
Textbox  "Years completed"!
Textbox  "Related courses taken"!
Textbox  "Name and title of the person who can write a reference letter for you "!
Textbox  "Email address"!

Fieldset
textarea "Comments and/or additional notes" !

fieldset 
submit    "Submit Application"
</form>

Gökova Geometry Topology Institute

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