AMSI Winter School 2019 - Application Form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

The Australian Mathematical Sciences Institute (AMSI) and Queensland University of Technology (QUT) are hosting AMSI Winter School 2019 from 1 July to 12 July in Brisbane, Queensland. 

Applications for AMSI Winter School includes both submission of this Application Form as well as the School Fee payment via the QUT Pay payment gateway (which you will be redirected to after you submit this form).

Please note: Unsuccessful applications will be eligible for a full refund of the School Fees.
  • Acceptance of AMSI Winter School 2019 applications is at the discretion of the Event Director.
  • Applicants will be notified via email (to the address provided on this form) the outcome of their application to the School.
  • Attendees at the School will be asked to give a 15 minute 'Participant Talk' on your research interests and/or PhD thesis topic relevant to the theme of the school.
  • All attendees are expected to attend all program classes for the duration of the two week Winter School
For information about the AMSI Winter School program, lecturers, course content, timetable including program extras, and/or grants available, please visit http://ws.amsi.org.au
If you have any technical issues with the form or receive any errors please contact AMSI via email at events@amsi.org.au.





please use the same email address for your fee payment and/or grant application form (if applicable)

preferably a mobile number














preferably a mobile number










DD/MM/YYYY




Please provide the contact details of a referee who is able to comment on your research and/or experience. For PhD students, this should be your PhD Supervisor. 

AMSI Winter School organisers may need to make contact with them to process your application.









Attach a letter or email of support from your current supervisor, honours coordinator and/or head of school/department to support your attendance at AMSI Winter School 2019.






This information will be kept strictly confidential and will only be used in the event of an emergency.

This information will be kept strictly confidential and will only be used in the event of an emergency.

This information will be kept strictly confidential and will only be used in the event of an emergency.

This information will be kept strictly confidential and will only be used in the event of an emergency.





Students travelling to Brisbane to attend AMSI Winter School 2019 are expected to arrive on Sunday, 30 June and depart on Saturday 13 July. Accommodation is available between these dates.



Two types of Grants are available for students and/or early career researchers at AMSI Member Universities to assist with the cost of travel, accommodation and/or caring responsibility expenses. To find out more information about these grants and eligibility criteria, please visit https://ws.amsi.org.au

Please note: Grant applications close on Sunday, 26 May 2019.








The Australian Mathematical Sciences Institute and Queensland University of Technology respect the privacy of individuals and acknowledge that the information that you provide on the form is personal information as defined by privacy legislation. 

  • The information is being collected for the purpose of processing of applications. 
  • The intended recipients of the information are the Event Organisers and any service providers as required (for example, accommodation providers). 
  • The information which you provide is confidential and will not be disclosed without your consent unless the disclosure is authorised or required by law. 

 

By selecting the check box below, I agree:

  1.  to fully participate voluntarily, in the AMSI Winter School 2019, and, to the best of my ability, attend all sessions of the two week program;
  2. to my name, organisation, and email address being included in a participants list for distribution at the event;
  3. to the Australian Mathematical Sciences Institute and/or Queensland University of Technology recording my voice and/or image, at its discretion, during AMSI Winter School 2019; 
  4. to the use, reproduction, and distribution (in full or in part) of any photographs and recordings made of my voice or image for publicity purposes or for educational use; and
  5. to receive the AMSI e-news (unsubscribe option available) and event related correspondence to keep you informed about Winter School and other upcoming AMSI events. 


IMPORTANT: After submitting this form, you will be redirected to the AMSI Winter School 2019 QUTPay Payment Gateway to complete your fee payment for this event. 

Without submitting this Application Form and/or paying the School Fee, you application will not be finalised.