Ninth Annual Community Climate System Model (CCSM) Workshop Registration Form

Request for Travel Funds: Deadline to request travel funds is Friday, 23 April 2004.


Most special characters are not allowed (for example, commas ","), but each field has its own requirements. If you enter characters that are not allowed, your information may be truncated, or when you press the "check button" below, an error will be flagged and you will need to change your information. Required fields are marked with an "*."

Title (i.e., Dr., Mr., Ms.):
*First name:
Middle initial:
*Last name:
*Name on your nametag (the name you go by, first and last):
*Position (e.g., professor, scientist, graduate student, postdoc):

*Organization:
Department:
*First line of address (do not include Org. or Dept.):
Second line of address (do not include Org. or Dept.):
Third line of address (do not include Org. or Dept.):
*City:
*State:
*Zip/Postal Code:
Country:

*e-mail address:
Personal web-page:
*Phone number (###-###-####):
Fax number (###-###-####):
*Primary Working Group (the group to which your research is most related)
*Working Groups you are interested in; pick as many groups as apply. Some platforms may require using the control key to pick multiple groups.
Any notes you want to add:


Request for Travel Funds: Deadline to request travel funds is Friday, 23 April 2004.


Disclaimer: Travel funds are limited! There is no guarantee of assistance.

If you are requesting travel funds, please give very specific details of your current CCSM research or your specific future plans for involvement. Your response will help to determine funding.
*Do you need travel assistance?
*Specific details of your current CCSM research or your specific future plans for involvement:
*Type of assistance needed? (e.g., lodging, per diem, shuttle, airfare). Please note that the standard package that is funded is hotel, per diem, and shuttle expenses.

The CCSM Workshop Poster Session will be held during the days of the workshop.
*Do you want to display a poster?
*What working group will your poster be related to most?


*Do you like the Breckenridge venue for this workshop?
Any comments you want to make about the Breckenridge venue:

Two CCSM Script Tutorial sessions will be held at the workshop, one on Thursday morning and one on Friday morning. This tutorial is to guide participants on how to build, run, and use the CCSM modeling system.

*Do you want to attend the CCSM Script Tutorial on using CCSM software?
*Which day would you like to attend?


*Santa Fe Destinations located at the Eldorado Hotel will offer special programs for guests (adults and children) during the workshop. To help this planning process, please list the number of guests (adults and children under 14 years of age) who will accompany you to the workshop below.


*The CCSM Workshop Reception will be held on Wednesday evening at the Palace of the Governors, which is the oldest public building in the United States, and a state history museum. Please list below the number of adults and children who will accompany you to the reception.

After checking your registration, be sure to go to the end of that page and SUBMIT it.
For help with this form: 'paulad@ucar.edu'
For more information see 'http://www.cesm.ucar.edu/news/ws.2004/logist.html'