INT PARTICIPANT INFORMATION

INT-02-1
Nucleosynthesis
March 25 - June 28, 2002

To be ensured consideration for this program, please submit your application no later than August 6, 2001. The program organizers will review applications at that time, and invitation letters will be issued shortly thereafter.

Family name: First name:

Professor Research Associate Graduate student Other

Department:

Institute:

Address:

Office Phone: Home Phone:

Fax: E-mail:

Preferred length of stay:

Please check the box next to the preferred week(s) for your visit
(Dates below are Mondays).

March 2002April 2002May 2002June 2002
March 25 April 1 May 6 June 3
April 8 May 13 June 10
April 15 May 20 June 17
April 22 May 27 June 24
April 29

Topics on which you may wish to give a seminar:

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