VMW16 Application for Financial Support

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First name *

Last name *

Email address *

URL

Personal or Professional Homepage URL

Mailing Address *

Full mailing address, personal or professional

Citizenship *

Use Other if you have non-singular citizenship

Other/Non-Singular Citizenship

Fill this if you selected Other for Citizenship

University *

Name of college or university where you are currently studying

Country of Current Study *

Country where you are currently studying

Field of Studies *

Specify your major; if Other specify in Comments

Other/Field of Studies

Fill this if you selected Other for your major

Degree *

Degree towards which you are studying; if Other specify in Comments

Years *

How many years have you completed in you current course of study?

Research *

Summarize your research experience (if any) in one paragraph

Gain *

What do you hope to gain from participating in this workshop

Recommendation letter (advisor's name) *

We will contact your advisor, or a professor of your choice, to recommend you for VMW. What is their name?

Recommendation letter (advisor's email) *

We will contact your advisor, or a professor of your choice, to recommend you for VMW. What is their email address?

Travel support *

If you need travel support, from where will you be traveling?

Travel support *

Continuing with the travel support, from which city will you be traveling?

Accommodation *

Do you need Accommodation support? If yes, we will arrange a shared room at a hotel for you.

Extras

Any other comments or questions that you might have regarding accommodation.

Registration *

Do you require support for the registration fee of CAV 2016?

Publication *

Do you have a paper accepted at CAV? If so, you may be eligible to the CAV travel support. Please apply for the CAV travel support through the CAV webpage.

Support *

We would like to give scholarships to attend VMW/CAV to as many students as possible. Please therefore take advantage of other opportunities for support and tell us their total estimated amount (in US dollars, write 0 if you do not have other support).

Are you a citizen or permanent resident of the United States? *

Yes

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