FPGA'19 Travel Grant Application
Deadline: Feb 17, 2019.

Please fill this form only if you have a real need for a travel grant. The awardee selection process is competitive, and will be handled by a committee. Only partial travel expenses are reimbursed.

### IMPORTANT ###: Please keep all your receipts (e.g., airline ticket, hotel, etc.). If you are selected as an awardee, ACM will require receipts in order to (partially) refund you.

Email address *
What is your name? (Last, First) *
Your answer
What is your organization? *
Your answer
Are you a student? *
If you are a student, who is your current advisor?
Your answer
Is this your first time attending the FPGA conference? *
Are you presenting a paper or a poster? *
Do you belong to a group that is under-represented in the FPGA community based on gender, race, etc.?
If you have already purchased your airline ticket, how much in US Dollars did you pay? REMEMBER TO KEEP YOUR RECEIPTS. If you have not purchased your tickets yet, how much do you expect the ticket to be in US Dollars? *
Your answer
What other means of funding is currently available to cover your travel costs? Why are you especially eligible for receiving the FPGA'19 travel grant? (this is probably the most important question on this form) *
Your answer
A copy of your responses will be emailed to the address you provided.
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