IMA Program Application Form

Most IMA workshops are for scientists possessing a doctoral degree who are actively involved in the topic of the workshop. To request an invitation to an IMA workshop or other program, complete this form and press the submit button at the bottom of the form. Fields labeled in bold are required. Decisions about online applications are typically made 1-3 months before the workshop.

If you require funding to participate, complete the funding request section. Funding is limited.

Please note:

This form is for participation in an IMA workshop or a similar program. To apply for a visit of one month or more, do not use this form. See the IMA memberships page.
The online application is available until approximately one week before the start of a workshop. If the workshop you wish to apply for is not listed here, it is no longer possible to apply online and there is no funding available. If you do not need financial support, it may still be possible for you to attend. In this case, please contact visit@ima.umn.edu.
There is no registration fee for IMA programs.

Program Title:

APPLICANT INFORMATION

First Name:
Middle Name:
Last Name:
Position:	Please specify:

Organization:
Department(if applicable):
Full Mailing Address:
E-mail:
Home Page URL(if any):
Phone:
Fax:

Highest educational degree:	PhD or equivalent Masters or equivalent Bachelors or equivalent Other
Primary field of interest:
Year awarded:

Referred by:

If not referred, how did you hear of this program?

REQUESTED PERIOD OF STAY The stay should normally coincide with the workshop dates plus reasonable travel arrangements. For stays extending beyond this time-frame, please provide justification in an email. For a visit of one month or more, see the IMA memberships page.
Arrival Date:	(YYYY/MM/DD)
Departure Date:	(YYYY/MM/DD)

FUNDING REQUEST

Some limited funding may be available for participation. If you require funding to participate, indicate here and provide justification below. In addition to direct IMA funding, special accounts exist for reimbursing expenses of participants from IMA Participating Institutions and Corporations.

Please indicate if you are requesting funding:

Local expenses (hotel, meals, taxi, etc.)
Airfare and/or ground transportation
Local expenses and airfare
Not requesting funding

Describe any other support for this travel you will be receiving or have applied for:

Please read about our reimbursement policies.

SUPPORTING INFORMATION

The IMA may need additional information about your background and interests relevant to the program topic in order to evaluate your application, especially if you have requested funding. Please provide a brief statement of qualifications, curriculum vitae and/or publication list here or send it by email to . Graduate students need their advisor to provide a statement of support by email to .

Thank you for your interest in IMA Programs.

Equal Opportunity Statement

The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status, or sexual orientation.

The University of Minnesota is an equal opportunity educator and employer.

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