FLOC 2018 Student Travel Support
Please submit only one application. Multiple applications under the same name will disqualify you from being considered.
Email address *
Student Information
Name: *
Your answer
Mailing Address:
Your answer
Gender:
Your answer
Educational Institution: *
Your answer
Current Degree Under Study: *
(BS, MS, or PhD)
Country: *
(the country in which you are currently studying)
Your answer
Citizenship: *
Your answer
Ethnic Background:
Your answer
Do you have a presentation? *
(mark the ones applied, and if use "other" if you are participating in an event that is not included)
Required
Enter the title of your contribution(s) if chose anything other than "None" in the previous question.
Your answer
Primary Conference/Workshop to attend:
(use other to provide the workshop name)
Academic Supervisor Information
Supervisor Name: *
Your answer
Supervisor Email Address: *
(Note: enter the same email address from which your supervisor will be emailing us your letter of support to floc18student@gmail.com)
Your answer
Supervisor Webpage Address:
Your answer
Supervisor Mailing Address:
Your answer
Funding and Travel Costs
Estimated transportation costs: *
Flights, train or bus rides, etc; see http://www.floc2018.org/travel-information/
Your answer
Estimated accommodation costs: *
Maximum funding provided for 50 euros per day; see http://www.floc2018.org/accommodation/
Your answer
Estimated registration: *
Select all events you expect to attend; see http://www.floc2018.org/conferences/ and http://www.floc2018.org/workshops/
Required
Estimated Total Funding Required: *
(not including registration fees)
Your answer
Funding Amount Requested: *
(not including registration fees)
Your answer
What other source will provide the rest of your funding? *
Your answer
Statement of Interest
Statement of Interest: *
Describe, in 300 or fewer words , your interest in attending FLoC, your expected benefit, and your financial need.
Your answer
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