IISWC 2017 Student Travel Grant Application
Email address
First Name
Your answer
Last Name
Your answer
Current University
Your answer
Role at IISWC 2017
Required
ACM (or ACM SIG) Student Member Number
Your answer
IEEE Student Member Number
Your answer
Advisor's Name
Your answer
Advisor's Email address
Your answer
Primary source of funding to attend IISWC 2017
Estimated cost for traveling to and attending IISWC 2017
Your answer
Citizenship
Are you a member of a group under-represented in CS?
Submit
Never submit passwords through Google Forms.
This form was created inside of Stony Brook University Dept. of Computer Science. Report Abuse - Terms of Service - Additional Terms