If you selected "other", please indicate:
Expected Year of Graduation
Is there another student attending this conference you would like to room with? If so, please provide their full name (First and Last). We will try to accommodate all requests.
If you have any dietary restrictions, please list them below:
In the text box below, please list anything else about you that you want the conference organizers to know in order to facilitate your participation in CU2MiP. (E.g., medical condition, need for handicap accessibility, etc.)
As an underrepresented minority in physics, please write a personal statement explaining what you hope to take away from this conference and why you would like to attend.
Thank you for completing the registration for the 2016 Cu²MiP!
If you need to contact us, for any reason, you can reach us at: firstname.lastname@example.org.
We look forward to seeing you in October!