AMS Summer Policy Colloquium Registration

First Name*

Nickname for badge (if applicable)

Last Name*

Email*

Company or Agency

Address

City

State

Zip (xxxxx-xxxx)

Phone (xxx-xxx-xxxx)

Fax (xxx-xxx-xxxx)

Cell (xxx-xxx-xxxx)

Reading Materials will be sent out in late April 2012 shipped directly from the supplier. Please provide the address where the materials should be sent. FEDEX does not deliver to P O Boxes.
Hardcopy
Digital

Address for Book Shipment (if different)

AMS has secured a room block at the Washington Marriott at Metro Center. Please indicate your room preference below; paying participants will be required by the hotel to provide the first night's deposit to secure the room. (An invoice will be sent to paying participants for the $5000 registration fee which includes all sessions, workshops, tours/briefings, and materials) Room prices have yet to be determined.

King Non-Smoking
King Smoking
Double Non-Smoking
Double Smoking
Handicapped Accessible Room

Travel Dates

Arrival Date (mm/dd/yy)


Departure Date (mm/dd/yy)

Diet or Special Needs

Are you applying for NSF Funding?
Deadline: 1 March 2012

Select: Yes, and I will submit all required materials electronically with this form. Yes, but not all materials with this form. No, I am not applying for NSF funding.

Student and faculty members competing for support must submit (1) a cover letter , (2) a letter of intent , (3) a curriculum vitae , (4) two letters of reference, and this (5) online registration. To be eligible, students should be U.S. Citizens and AMS (student) members, or applicants.

Electronic submissions are preferred over hard copies mailed.

After clicking the Review button below, you'll have a chance to upload your files.
The file types that can be uploaded are: DOC, DOCX, PDF, TXT
The maximum size for a file is 2Mb (2048Kb)
The maximum number of files you can upload is 5
The total size of all your files taken together should not exceed 9Mb

All materials should be sent to:
Caitlin Buzzas
cbuzzas@ametsoc.org
202 737-9006 ext. 9821

American Meteorological Society
1120 G Street NW, Suite 800
Washington, DC 20005

If you are NOT applying for funding, please enter a contact person (if different) for payment.

Name (first and last)

Title

Phone (xxx-xxx-xxxx)

Fax (xxx-xxx-xxxx)

Email

Comments or Questions