Request edit access
Scholarship Application
First name *
Your answer
Last name *
Your answer
Email address *
Your answer
Mailing address *
Your answer
Personal or professional homepage URL
Your answer
College or university where you are currently studying *
Your answer
Degree towards which you are studying *
Year in program *
Research experience *
Summarize your research experience (if any) in one paragraph.
Your answer
Anticipated gain *
What do you hope to gain from participating in this workshop?
Your answer
Publications *
Do you have a paper accepted at SPLASH or a co-located event? (If so, you may be eligible to SIGPLAN PAC support. Please apply for PAC support through their webpage.)
Registration *
Do you require support for the registration fee of SPLASH and PLMW?
Travel support *
Please provide an estimate of how much it would cost you to travel to the workshop.
Your answer
Travel support explanation *
Please provide an explanation for the amount above.
Your answer
Accommodation support *
Do you need accommodation support?
Other available funds *
We would like to give scholarships to attend PLMW/SPLASH to as many students as possible. Therefore, please take advantage of other opportunities for support and tell us their total estimated amount. Put a zero if you do not have other support.
Your answer
Participation *
Will you be available for full four (4) days from October 27th to 30th, 2015?
Participation explanation
If you replied 'No' above, please explain.
Your answer
Is there something else you would like to tell us to consider in your application?
Your answer
Gender *
Ethnicity *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service