Organizer Surname: ___________________ Program Section: ______________________
Session title: _______________________________________________________________
______________________________________________________________________________
Session type: [ ] Panel [ ] Workshop Estimated attendance: _______
Sponsoring organization (if any): ____________________________________________
If you will require special equipment for the session, check here (unused
equipment will be charged to the panel organizer): [ ] overhead projector
[ ] slide projector [ ] VCR and monitor [ ] Other
__________________________
Brief description of session (50-75 words):
Organizer:
Surname(s): _____________________________ Name(s): __________________________
Institutional affiliation and location:_______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ___________________ ZIP/Postal Code:_____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
Brief professional statement (including academic, scholarly, or
institutional experience and/or positions held related to session topic):
General Instructions
Read the "Call for Papers, XIX International Congress" before
completing this form, and follow guidelines carefully. List all
participants in the expected order of their appearance, including
organizer, chair, paper presenters, and discussant(s). Give surname(s) in
the order in which they should be indexed. Addresses must be current and
complete, and both office and residential telephone numbers listed for all
participants, where available. No more than one Individual Travel Funding
Request form or LASA Junior Lecturer nomination, for one Latin America- or
Caribbean-based participant, will be accepted for each session.
Papers may be in English, Spanish, or Portuguese. Provide paper titles
in the language in which the paper will be presented. Incomplete panel
proposals with the Program Section left unidentified, paper titles left
undefined, or incomplete addresses will not be accepted. Inclusion of all
proposed sessions in the final program cannot be guaranteed.
All U.S.-based program participants must preregister for LASA95 by May
15, 1995. If this requirement is not met the session will not be included
in the final program.
Session organizers should mail two copies of this form to: LASA95
Program, 190 Uris Hall, Cornell University, Ithaca, NY 14853-7601, USA
FAX: (607) 255-8919. (Email address, for inquiries or subsequent
communication: LASA95@cornell.edu)
Deadline for receipt is November 1, 1994
=============================================================================
Participant 1:
Surname(s): __________________________ Name(s): _____________________________
Role in session (check more than one if appropriate): [ ] Organizer [ ]
Chair [ ] Presenter [ ] Discussant
Title of panel paper or workshop presentation: _______________________________
______________________________________________________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ____________________ ZIP/Postal Code: _____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
=============================================================================
Participant 2:
Surname(s): __________________________ Name(s): _____________________________
Role in session (check more than one if appropriate): [ ] Organizer [ ]
Chair [ ] Presenter [ ] Discussant
Title of panel paper or workshop presentation: _______________________________
______________________________________________________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ____________________ ZIP/Postal Code: _____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
=============================================================================
Participant 3:
Surname(s): __________________________ Name(s): _____________________________
Role in session (check more than one if appropriate): [ ] Organizer [ ]
Chair [ ] Presenter [ ] Discussant
Title of panel paper or workshop presentation: _______________________________
______________________________________________________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ____________________ ZIP/Postal Code: _____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
=============================================================================
Participant 4:
Surname(s): __________________________ Name(s): _____________________________
Role in session (check more than one if appropriate): [ ] Organizer [ ]
Chair [ ] Presenter [ ] Discussant
Title of panel paper or workshop presentation: _______________________________
______________________________________________________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ____________________ ZIP/Postal Code: _____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
=============================================================================
Participant 5:
Surname(s): __________________________ Name(s): _____________________________
Role in session (check more than one if appropriate): [ ] Organizer [ ]
Chair [ ] Presenter [ ] Discussant
Title of panel paper or workshop presentation: _______________________________
______________________________________________________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ____________________ ZIP/Postal Code: _____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
=============================================================================
Participant 6:
Surname(s): __________________________ Name(s): _____________________________
Role in session (check more than one if appropriate): [ ] Organizer [ ]
Chair [ ] Presenter [ ] Discussant
Title of panel paper or workshop presentation: _______________________________
______________________________________________________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City, State (Country if not U.S.): ____________________ ZIP/Postal Code: _____
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (optional but recommended): __________________________
=============================================================================
Individual Travel Funding Request--Session Participant
Only Latin America- or Caribbean-based participants are eligible to
apply for travel support. All requested information, including alternate
addresses, both office and residential telephones, and FAX number where
available, must be provided. Incomplete requests will not be considered.
This form must be submitted with the session proposal, and no more than one
applicant per program session will be considered. Funding will be limited
to air fare and conference registration fees only, not for per diem
expenses. Acceptance of this request by LASA does not imply a funding
commitment. Applicants are also encouraged to seek non-LASA funding for
travel and expenses. Funding cannot be guaranteed. Acceptance of a panel
does not assure that travel funding will be available for any participant.
Nominations for LASA Junior Lecturer fellowships should be made on the
appropriate form, not on this form. No more than one Individual Travel
Funding Request form or LASA Junior Lecturer nomination, for one Latin
America- or Caribbean-based participant, will be accepted for each session.
Criteria for establishing priority among funding requests:
o The overall quality and potential of the session for the advancement of
knowledge in a particular area.
o Participation by younger scholars, women, and those from
underrepresented groups and countries.
o Applicants who received LASA travel support for both of the last two
congresses (Los Angeles and Atlanta) will not be given funding priority for
LASA95.
Session title: _______________________________________________________________
Title of presentation: _______________________________________________________
______________________________________________________________________________
Name of person for whom travel support is being requested:
Surname(s): _____________________________ Name(s): __________________________
Professional title:___________________________________________________________
Highest degree, institution, and date: _______________________________________
Institutional affiliation and location: ______________________________________
Mailing address, January to September 1995: __________________________________
______________________________________________________________________________
Alternate mailing address: ___________________________________________________
City/State/Country: ___________________________________Postal Code: __________
Address for receipt of courier delivery (location, not P.O.box number):
____________________________________________________________________________
Telephones (with Area or other codes): Office: ____________________
Residence: ___________________ FAX: __________________
Electronic mail address (if available): ______________________________________
Did the applicant receive travel support for both LASA 92 (Los Angeles) and
LASA 94 (Atlanta)? [ ] Yes [ ] No
Person submitting this form (if other than applicant): _______________________
Brief justification for LASA travel support request:
Deadline for receipt is November 1, 1994
LASA95 Program Office, 190 Uris Hall, Cornell University, Ithaca, NY
14853-7601, USA Internet Address: LASA95@cornell.edu