Theoretical Advanced Study Institute
in Elementary Particle Physics

“Searching for New Physics at Small and Large Scales”

University of Colorado–Boulder, Colorado

June 4 - 29, 2012

Online Application

Submission Deadline: March 1, 2012, 5 PM MST
Full Name
(Last, First, Middle Initial)
Institutional Address
All further correspondence will be sent to your institutional address.

Please fill in a short résumé of your studies and research. Please list the archive numbers of publications; do not send papers.
Gender: Male Female
Phone Number:
Phone Number for Messages:
Email Address:
 
Date of Birth:

When did you enter the Physics graduate program? (month/year)

When {do you expect to/did you} receive your Ph.D.? (month/year)

Name of your thesis advisor:
Have you attended TASI before?

If Yes, which years?

Please ask for two (2) professional recommendations (one of these must be from your thesis advisor). Refer your recommenders to the Tasi 2012 website so they can take into account the intended level of the school. Letters must be received (not postmarked) by March 1, 2012, and are to be sent directly to:

Susan Spika
University of Colorado
Physics - TASI 2012
390 UCB
Boulder, CO 80309-0390

Recommendations may also be e-mailed to tasi@colorado.edu or faxed to (303) 492-5119.

TASI has limited funds this year to give financial support to participants. [We urge the participants' home institutions to support them to the maximum extent possible.] After taking into account the support available to you from other sources, roughly how much financial assistance would you require from TASI to attend TASI 2012?

If so, how many ?

Do you have any special housing requirements?


Do you have any special meal requirements?