MIDWESTERN COLD ATOM WORKSHOP (MCAW 2014)

November 14-15, 2014

Argonne National Laboratory

Physics Division, Building 203 Auditorium

Argonne, IL 60439

REGISTRATION FORM

PART I

Name: / Phone:
Organization:
Email: / Citizenship:
Arrival Date: / Departure Date:

(include any nights you will be staying at the Argonne Guest House)

ALL FOREIGN NATIONALS (including Permanent Residents):

PLEASE CONTINUE TO PART II –FOREIGN NATIONAL REGISTRATION. WITHOUT VISITOR

REGISTRATION, YOU WILL BE UNABLE TO RECEIVE A GATE PASS TO ACCESS THE

LABORATORY SITE FOR THE WORKSHOP OR THE ARGONNE GUEST HOUSE.

LODGING: CUT-OFF DATE FOR HOTEL RESERVATIONS IS OCTOBER 31, 2014

A block of rooms has been reserved for the Workshop. Please make your reservation directly with the hoteland refer toMCAW 2014 WORKSHOP.

Argonne Guest House MCAW Room Block options:

9700 South Cass Avenue, Bldg. 460Singles (1 king bed) or doubles (2 twin beds) - $75/night

Argonne, Illinois 60439Quads (sleeps 4-6 people) - $260/night

Phone:(800) 632-8990 or (630) 739-6000

Fax: (630) 739-1000

E-mail:

(mention MCAW 2014 room block on the request form)

I plan to attend the buffet pizza dinner on Friday evening at the Guest House: Yes No

I plan to present a poster Friday evening in parallel with the buffet dinner: Yes No

LUNCH FEE for Sat., November 15th: $15.00 (cash only, payable at the Workshop)

If you require a vegetarian sandwich, please check here:

Return registration form by October 31, 2014, to: Debbie Beres

Upon arrival at Argonne, you will need to show proper identification to receive your gate pass:

U.S. Citizens: A photo I.D., such as a driver's license or passport.

Permanent Residents: A photo I.D. & Permanent Resident Card (I-551)(a.k.a, LPR or Green Card).

Non-U.S. Citizens: A passport in-status documentation (I-797, DS-2019, I-20, etc., as you stated in your Foreign National Registration).

PART II

FOREIGN NATIONAL REGISTRATION FOR GATE PASS

***Information must be entered by October 31, 2014***

Foreign nationals requesting a visit to Argonne National Laboratory, please click on the link below and you will be taken to the “Visitor Registration” page. This will initiate the approval process for your gate pass to enter the Laboratory site.

Under Sponsor/Host, enter Debbie Beres’ address () and click on “Verify Sponsor E-mail.”

You will then be directed to a registration form to complete. Once completed, please click on “Submit Visitor Registration” and she will be notified of your submission. Note: Please fill in your Education Background completely (list ALL degrees, including those prior to PhD and any anticipated degrees with university & year expected). Also, for title, position, or description of duties, you can use simply state professor, scientist, researcher, etc. (no detailed description of duties required). The form requests passport and visa information.

Debbie Beres will confirm receipt of your registration. Closer to the date of the Workshop, you will be provided details about picking up your gate pass.

If you have any questions completing your information, please call or email:

Debbie Beres

Physics Division

Argonne National Laboratory

(630) 252-4100