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Reconnect Workshop 2012

Game Theory and Security

Application Form



Please apply by filling in the following blanks. Note that your application is complete when we have received...
  1. ...an application form (found here),
  2. ...an up-to-date Curriculum Vita, which can be submitted online here.
  3. ...one Letter of Acknowledgement from Chairperson, which can be submitted online here.
  4. ...Sample Writing (NOT Required - see note on Sample Writing page), which can be submitted online here.
Your Curriculum vita and letter of acknowldgement can also be e-mailed to: reconnect at ccicada dot org


When finished, press the "send" button at the bottom of the form.

Contact Information:
Your First Name: 

Your Middle Name: 

Your Last Name: 

E-mail (mandatory):  

Affiliation:  

Department: 

Address: 

City: 

State: 

Zip: 

Phone: 

Fax: 

Home Address: 

City: 

State: 

Zip: 

Phone: 

Fax: 

E-mail Address: 

URL (if you have one): 

Affirmative Action Information (optional):
Gender: M F
Race or Ethnic Background:

Education:
Undergraduate Degree:         Year Received: 
Major: 
Minor: 

Graduate Degree(s) or Certification:
Masters:       Year: 
Doctorate:       Year: 
Certification:       Year: 

The CCICADA Reconnect Workshop will be held from June 3 - 9, 2012.
  1. Why do you want to attend the Reconnect Program and how do you think you will benefit from it?

  2. (For faculty applicants only)
    1. What courses have you taught in the last two years?

    2. What courses do you expect to teach in the next academic year?

  3. Please describe any experience/background that you have with game theory and related areas. For example, have you taken a---formal or self-taught---course in the area (if so, please describe it in a sentence or two), written relevant expository materials, or followed developments in the area in other ways? (Previous experience is not a prerequisite, but knowing participants' backgrounds helps our planning.)

  4. What is your mathematical experience/background?

  5. What is your computer science experience/background?

  6. What is your economics experience/background?

  7. When did you last experience doing research and what was it about? (A sentence or two about the topic will suffice.) We recognize that many applicants may not have done any research since their graduate school days.

  8. Do you expect you will have an opportunity to use ideas from this conference in one or more of the following follow up activities? (check all that apply)
    In a course. Which one?   
    Through an undergraduate research project.
    Through a departmental or interdisciplinary seminar in your campus.
    In government or industrial research projects.
    Other. (Explain)    
  9. Applicants who are selected to attend this program are expected to attend for the entire program. If selected, will you be able to commit to participating for the entire program? Yes No
  10. Applicants who are selected are expected to complete their written classroom materials by the following January after leaving the program. Do you make this committment?Yes No

Document last modified on November 7, 2011.