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If different, please give us the best address and telephone number at which to reach you after July 1st, 2016.

I understand that ACCCESS Fellows must attend all AMATYC Project ACCCESS Workshops and other activities at the Annual AMATYC conferences in Denver, Colorado, November 17-20, 2016 and in San Diego, California, November 9-12, 2017 and must attend an AMATYC Affiliate meeting, an MAA Section meeting or an NCTM Regional meeting near their home institution between November 2016 and November 2017. Since funding is provided for lodging at the conferences, I will understand I will be sharing a room with another ACCCESS Fellow. I also understand that my time at the conference will be rather full with ACCCESS activities, and as such I will not have much free time.

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