Simons Workshop in Mathematics and Physics 2007: Departure Form

We hope that you have enjoyed your stay at the Simons Workshop. We would appreciate it if you could help us by answering a few questions. Please fill out this form before you leave.

Last Name:
First Name:
Email:

(1) Do you have any comments about the logistics, housing, etc.? Please tell us what we did right and what we did wrong (please use line breaks).

(2) We would like to evaluate how successful the program was scientifically; any comments that you have would be very helpful. Please also indicate if we can use your comments with funding agencies, etc. (please use line breaks)

The Simon workshop may distribute my comments: Yes No

As the year progresses, please let us know about any papers that you have produced that benefited from the workshop.

(3) As we indicated in your invitation, within the limits of our budget, we are trying to cover as much as possible of your expenses that your home institution isn't covering. Please give us a breakdown of your expenses (in US dollars) into round-trip travel to the workshop and local meals (no receipts needed) and local travel (with receipts please) expenses, and tell us how much your home institution is covering.

Round-trip Travel to Workshop: Home Support:
Meals:
Local Travel:Home Support:

Thanks!