Submit your Travel Plans

Please let us know your travel arrangements by Aug 22, 2014

See the logistics page (opens in a new window) for information on making your travel arrangements.

Full Name:

Email Address:

(Please Note: Your email address is what we use to track your application and participation in the workshop. Be sure to use the same email address associated with your SERC account.)

Travel Information

The workshop will be held at Carleton College in Northfield, Minnesota. Plan to arrive in Northfield in time for the first workshop event at 6pm on Wednesday, Sept 17th. The workshop will be over at 1pm on Friday, April 19.

Travel Method:

I will be arriving by car.
I will be arriving by air.

If arriving by car, please enter your arrival date

If departing by car, please enter your departure date

Incoming Flight Information (if applicable) Date

Airline

Flight Number

Time of Arrival

Outgoing Flight Information (if applicable) Date

Airline

Flight Number

Time of Departure

Cell Phone Number:
(This information is only used to contact you if there are issues that arise during your transit to or from the workshop.)

If there is anyone you would like us to contact in the unlikely event of an emergency during the workshop, please enter their name and contact information here:

Is there any other information you would like us to know about your travel plans?

AccommodationDo you have a disability, food allergy, or preference that requires accommodation at the workshop?If so please describe:

Do you anticipate difficulty walking moderate distances?

Yes
No

Hotel InformationOur grant will cover the cost of lodging on Wednesday 9/17 and Thursday 9/18) for double occupancy rooms.
If you prefer, you may request a private room. You will be responsible for paying for this option ($45 per night).

Double occupancy, no roommate preference.
Double occupancy, roommate preference (indicate below)
Single occupancy, I will pay $45 per night for this option . (Single occupancy rooms are limited in number and cannot be confirmed until we have received payment)

If you prefer to be paired with a specific roommate, please indicate your preference here.

Payment for single room
Make your check for $45 (1 night), $90 (2 nights) out to Carleton College. Send it to the address below with a clear indication of your name and the workshop you are attending:

Carleton College
Science Education Resource Center W-SERC
One North College St
Northfield, MN 55057

Number of nights

Name Email

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