1. The following information is required by our funding sources. Please provide the following information:

   
   First Name
   Last Name
   School Name
   Email

2. Choose one of the following:

   
   Freshman Sophomore Junior Senior Faculty Other

3. Would like a vegetarian option lunch?

   
   -- Yes No

4. The following questions will help us with reporting to our funding sources. We appreciate

   your willingness to answer them.

   1. How would you identify yourself?

      -- African American Asian Caucasian Hispanic Native American Other

   2. What is your gender?

      -- Male Female

5. Would you like to participate in a pie-eating contest to celebrate Pi Day?

   
   -- Yes No
   
   

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   STOP! Only complete the following items if you are giving a talk.

   ---

6. If you are a student, are you applying to give a student talk?

   
   -- Yes No

7. Is your talk pi-related?

   
   -- Yes No

8. Is your talk a joint presentation with another student?

   
   -- Yes No

9. Please enter the names of joint presenters:

   
   

10. Please enter your title in the space provided below.

    
    

11. Please enter your abstract.

    
    

12. If you are applying to give a talk, do you prefer to give a 15 or 20 minute talk?

    
    -- 15 minutes 20 minutes

13. Please choose a T-shirt size:

    
    -- S M L XL

14. Are you a member of Pi Mu Epsilon?

    
    -- Yes No
    
    

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    STOP! Only complete the rest if you are applying for travel support. Travel support is only available for U.S. citizens.

    ---

15. Are you requesting travel support?

    
    -- Yes No

    If yes, please provide the following by February 21, 2009:

    1. An estimated budget of your travel expenses, including airfare, ground transportation, lodging, and support from your home institution.
    2. A letter from your academic advisor or department chair explaining that your institution cannot cover all of your travel expenses.

    The items can be provided by email to ncameron at lclark dot edu OR by US mail to Dr. Naiomi Cameron at:

    Department of Mathematical Sciences

    Lewis & Clark College

    MSC 110

    0615 SW Palatine Hill Road

    Portland, OR 97219

Thank you for registering! We'll see you on Pi Day 2009!!