COVER SHEET FOR APPLICATION TO THE

           CTEQ Summer School on QCD Analysis and Phenomenology
                                 at the
                  University of Wisconsin - Madison
                           Madison, Wisconsin
                         24 June - 2 July June 2009


Name (Last, First)      
Home Institution        
Current Mailing Address 
                        
                        
Daytime Phone           
Fax Number              
Email Address           

Month/Year Ph.D. obtained or expected 
Are you   [ ] Theory   [ ] Experiment
Have you attended a previous CTEQ Summer School?
     [ ] Yes  [ ] No  If yes, what year?  
Gender (to be used for lodging if admitted to program)  [ ] Male   [ ] Female

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Please submit this cover sheet, your CV with publications list, and 
one letter of reference by 

                            15 April 2009

Email Submission (PDF or text please):  CTEQ2009@hep.wisc.edu

Fax Submission                       :  608-263-0800

Paper Submission                     :  CTEQ Summer School
                                        c/o HEP, Dept. of Physics
                                        1150 University Avenue
                                        Madison, WI 53706