ACM CAC 2013 Student Application Form
This form is only for students to apply for travel and registration support to attend the ACM Cloud and Autonomic Computing Conference (CAC 2013), during August 5 to August 8, 2013, located at the InterContinental Hotel, Miami, Florida, USA.
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Telephone *
Your answer
E-mail *
Your answer
Ethnicity *
Race *
Required
Gender *
Citizenship or Residency status *
Visa Type (if applicable)
Your answer
Country of Citizenship *
Your answer
Student ID *
Your answer
University *
Your answer
Student Rank *
Expected Graduation Date
MM
/
DD
/
YYYY
GPA
Your answer
Financial Support Required *
Required
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