Summer 2003 Workshops
Application Form for Workshops and Scholarships
Please complete and submit the form below. All fields are required.
Application deadline is March 31, 2003.
Select Workshop:
First Name:
Last Name:
Affiliation:
Address:
City:
State:
Postal Code:
Country:
Citizenship: US Citizen
US Permanent Resident
Other (describe)
Email:
Telephone:
Discipline & research / teaching interest:
Gender:  Female Male
Background (select the one that matches your current status):
Master Student
PhD Student
PhD Candidate
Post Doctorate
Untenured academic appointment
Tenured academic appointment
Other (describe)

My two-hundred word statement on why I wish to participate in the selected workshop:

How did you learn about the CSISS Workshop Program:

 The CSISS Website
CSISS Flyer
Colleague/Graduate Advisor
Newsletter (please specify)
List Serve (please specify) 
Other (please specify)       

>>Please click the Submit button only once.<<
     
-or- Mail / Fax to:
CSISS / Department of Geography
University of California
3510 Phelps Hall
Santa Barbara CA, 93106-4060
Fax: 805-893-8617