![](media/image1.png){width="3.1805555555555554in" height="0.675in"}
**[Conference Request Form]{.underline}**

> Instructions

The following Conference Request Form has been created to facilitate
communication, consistency, and accuracy in the request of CNLS
sponsored conferences and their initiation. The information requested in
this form is mandatory to the extent that it is available. If specific
information is unkown, please estimate appropriate figures to the best
of your ability or contact the CNLS Conference Coordinator. If
information is missing or not specific enough, approval will be delayed.

This form may be submitted physically or electronically. To submit the
form electronically, please email to <ellie@lanl.gov> once you have
completed the form. To submit physically, please either hand-deliver
this form to Ellie Vigil in the CNLS Office at TA-3, Building 1690, Room
101 or inter-office to Mail Stop B258. The CNLS Office can be contacted
at 667-1444.

This form will be presented to the CNLS Executive Committee, which
normally meets weekly on Thursdays. Once reviewed, you will be notified
of its approval status. If approved, the form will be given to the CNLS
Conference Coordinator who will then schedule a meeting with you and the
Center Director to obtain more information, set specific timelines, and
start the planning process.

Please understand that even if your conference is approved, your
specific conference dates requested may not be available due to hotel
availability or CNLS's schedule. Date flexibility will be discussed in
this initial meeting with the Center Director.

If you have not already done so, please review the description of the
CNLS conference sponsorship program at our web page,
<http://cnls.lanl.gov/External/workshop_policy.php>.

**CNLS Mission**

• To identify and study fundamental nonlinear and complex systems
phenomena and promote their use in applied research,

• To stimulate interdisciplinary research and information exchanges
inside and outside the Laboratory,

• To provide a focal point for collaboration with academic and other
scientific centers of excellence, and

• To disseminate recent developments and introduce young researchers to
the subject.

\*\* **Payment of funds and reimbursement of expenses may not be
promised or implied prior to approval by the CNLS Director. All
financial commitments, and changes to those commitments, may only be
issued by the Conference Coordinator with approval from the CNLS
Director.**

Conference Coordinator - Adam Shipman

<conferences@cnls.lanl.gov>

664-0187

CNLS, MS B258

> ![](media/image1.png){width="3.1805555555555554in"
> height="0.675in"}**[Conference Request Form]{.underline}**

[General Info]{.underline}

Conference Name:

**     **

Approximate Conference Timing: **     **

\# of Days: **     **

Your conference dates are: Firm Flexible

Location: Santa Fe Los Alamos Other: **     **

[Organization]{.underline}

Organizers: *Name (Affiliation)*

**     **

Advisory Committee: *Name (Affiliation)*

**     **

Key Topics:

**     **

[CNLS/LANL Impact]{.underline}

Purpose / Objectives: *How will your conference affect CNLS? What
benefit will CNLS get from sponsoring the conference? Considering CNLS
has limited funds and time, why should your conference take priority?*

**     **

What LANL groups are interested in or researching this topic?

**     **

How many LANL scientists do you expect will attend/participate?      

Are you planning to formally publish the proceedings of the conference?
Yes No

[Speakers]{.underline}

Number of expected speakers? **     **

Tentative list of invited speakers: *Name (Affiliation-topic)*

**     **

Will there be contributed talks in addition to the invited speakers? Yes
No

Will there be a poster session? Yes No

[Budget]{.underline}

Amount requested from CNLS: **     **

Amount requested from other sources: **     **

List sources: **     **

Total estimated cost of the conference: **[     ]{.underline}**

Comments or Additional Information:

**     **

*Internal Use Only*

*Received: EC Review:*

*Amount Approved:*

*Approved by:
X\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*