ACM SIGAI Student Travel Grant Application
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Name *
E-Mail address *
University *
I confirm I am enrolled as a full-time student at the above institution *
Name of study or degree programme *
Name of advisor/supervisor (ACM SIGAI will contact this person to request a brief recommendation.) *
Email address of advisor/supervisor *
ACM SIGAI membership number *
How long have you been a member of ACM SIGAI? *
Work address *
Home address *
Event for which travel support is requested *
Please specify the relationship of this event to ACM SIGAI: *
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) *
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) *
Please provide an approximate breakdown of the expenses you would like to cover from the requested travel grant *
Please state whether you will be receiving financial support from other sources for attending the event and specify the total amount of this support *
Please confirm the following *
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