ACM SIGAI Student Travel Grant Application
Name *
Your answer
E-Mail address *
Your answer
University *
Your answer
I confirm I am enrolled as a full-time student at the above institution *
Required
Name of study or degree programme *
Your answer
Name of advisor/supervisor (ACM SIGAI will contact this person to request a brief recommendation.) *
Your answer
Email address of advisor/supervisor *
Your answer
ACM SIGAI membership number *
Your answer
How long have you been a member of ACM SIGAI? *
Your answer
Work address *
Your answer
Home address *
Your answer
Event for which travel support is requested *
Your answer
Please specify the relationship of this event to ACM SIGAI: *
Required
Please provide a brief description of your involvement in the conference (list titles of papers or posters presented clarifying their status, contribution to the organization of the event, any networking meetings scheduled, attendance of co-located events) *
Your answer
Please state the amount of funding requested in US Dollars (as a rule of thumb, amounts over USD 1,000 are only likely to be approved under exceptional circumstances) *
Your answer
Please provide an approximate breakdown of the expenses you would like to cover from the requested travel grant *
Your answer
Please state whether you will be receiving financial support from other sources for attending the event and specify the total amount of this support *
Your answer
Please confirm the following *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service