Verification and Deduction Mentoring Workshop 2018 Application
Please fill in the following form if you are interested in attending the mentoring workshop and/or if you need financial support. We have limited funding available to support students attending the mentoring workshop and CAV/IJCAR 2018.
First name *
Your answer
Last name *
Your answer
Email address *
Your answer
URL
Personal or Professional Homepage URL
Your answer
Citizenship *
Use Other if you have non-singular citizenship
Other/Non-Singular Citizenship
Fill this if you selected Other for Citizenship
Your answer
University *
Name of college or university where you are currently studying
Your answer
Country of Current Study *
Country where you are currently studying
Field of Studies *
Specify your major; if Other specify in Comments
Other/Field of Studies
Fill this if you selected Other for your major
Your answer
Degree *
Degree towards which you are studying; if Other specify in Comments
Years *
How many years have you completed in you current course of study?
Research *
Summarize your research experience (if any) in one paragraph
Your answer
Gain *
What do you hope to gain from participating in this workshop
Your answer
Recommendation letter (advisor's name) *
We will contact your advisor, or a professor of your choice, to recommend you. What is their name?
Your answer
Recommendation letter (advisor's email) *
We will contact your advisor, or a professor of your choice, to recommend you. What is their email address?
Your answer
Travel support *
If you need travel support, from where will you be traveling?
Travel support *
Continuing with the travel support, from which city will you be traveling?
Your answer
Accommodation *
Do you need Accommodation support?
Check-in dates
Only fill in if you need accommodation support.
MM
/
DD
/
YYYY
Check-out dates
Only fill in if you need accommodation support.
MM
/
DD
/
YYYY
Registration *
Do you require support for the registration fee of CAV 2018 or IJCAR 2018?
Support *
We would like to give scholarships to as many students as possible. Please therefore take advantage of other opportunities for support and tell us the funding sources and their total estimated amount (in US dollars, write 0 if you do not have other support).
Your answer
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