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Visitor/Speaker Information Form (NEW!)
If visitor is arriving in less than 3 days, please email cn53@rice.edu in addition to this form.
Faculty Sponsor or Instructor contact
*
Faculty Email
(please include your email if you would like to update the Title and Abstract section later)
Visitor Name
*
First Name
Middle Name
Last Name
Visitor University/Affiliation
*
Visitor Email
*
Visitor Phone Number
Please enter a valid phone number.
Reason for visit
*
Topology Seminar
Algebra (AGNT) Seminar
Geometry Seminar
Colloquium
Analysis Seminar
Other (please list below, e.g., Stulken, Chang Char Tu, Fargason, etc.)
Honorarium for Visitor?
Yes ($250)
No
Other
If other reason for visit, please list here
Date and Time of Seminar/Colloquium
Visit Duration/Hotel Stay
Expenses allowed
All expenses paid
Hotel
Meals
Parking
Airfare
Ground Transportation
Mileage
Other (please list below, i.e. Stulken, Chang Char Tu, Fargason, etc.)
If other expenses allowed, please list here
Is Seminar or Colloquium Virtual? If no, please skip this question.
Yes
Provide an office during the visit
Yes
No
Using Faculty Club for Lunch?
Yes
No
Other requests or notes
Please list any specific funds to charge or other helpful information
Title (if known)
Abstract (if known)
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