Dimer Workshop Registration Form Dimer Workshop Registration Registration form for the Recent Progress in Dimer Conference Step 1 of 3 - Personal Information 0% Name* First Last Email* Enter Email Confirm Email Affiliation* Invited Speaker? No Yes Financial SupportWe will be able to provide (full or partial) financial support to junior researchers in US universities (primarily PhD students and young researchers less than 3 years beyond the PhD). Special consideration will be given to underrepresented groups. Full consideration will be given to applications submitted prior to June 29th with decisions to be sent shortly after. To apply for financial support please: 1) Submit your CV as a PDF file on the next page (or to the email below). 2) (students only): have your PhD advisor send a short recommendation letter to: dimerconferenceuconn@gmail.com. Are you applying for financial support?(NO for invited speakers) Yes No Check all that applies Early Career Researcher Member of Under Rerpesented Group PhD Student Your PhD advisor name: Please upload your CV hereAccepted file types: pdf, Max. file size: 100 MB. Would you like to participate in the conference dinner?There may be a charge of $25 per person. No Yes Yes + one guest If you have any special requests (dietary restrictions or anything else) or wish to provide any additional details, please enter below.CommentsThis field is for validation purposes and should be left unchanged.