PLMW@PLDI17 Application for Financial Support
First (given) name
Your answer
Last (family) name
Your answer
Email address
Your answer
Reason for attending
What do you hope to gain from participating in this workshop?
Your answer
Personal or Professional Homepage URL
Your answer
Mailing Address
Full mailing address, personal or professional
Your answer
Use Other if you have non-singular citizenship
Other/Non-Singular Citizenship
Fill this if you selected Other for Citizenship
Your answer
Institution of Current Study
Name of college or university where you are currently studying
Your answer
Country of Current Study
Country where you are currently studying
Degree towards which you are studying; if Other specify in Comments
How many years have you completed in you current course of study?
Previous PLMW
Did you participate in previous occurrences of PLMW (at PLDI or any other conference)?
If you answered Yes to the previous question
Which PLMW(s) did you attend?
Your answer
Travel support
If you need travel support, from where will you be traveling?
Are you unable or unwilling to travel to PLMW because of restrictions imposed by the US government, and—if so—are you interested in an alternative, US-based mentoring event?
Do you need child care?
Do you need support from PLMW to pay for your lodging? (PLMW will be booking a block of hotel rooms for students attending the workshop.)
Additional requests / questions
Any other comments, questions, or requests that you might have regarding accommodation.
Your answer
PLMW Registration
Do you require support for the registration fee for PLMW?
Registration for associated events
Do you require support for an associated event? If so, which are you most interested in attending?
Do you have a paper accepted at PLDI? If so, you may also be eligible to SIGPLAN PAC support. Please also apply for PAC support through their webpage.
We would like to give scholarships to attend PLMW/PLDI to as many students as possible. Please therefore take advantage of other opportunities for support and tell us expenses that they cover (in US dollars, write 0 if you do not have other support).
Your answer
SIGPLAN membership
Students attending may get one year free student membership of SIGPLAN. Do you want it?
Your answer
Never submit passwords through Google Forms.
This form was created inside of Harvey Mudd College. Report Abuse - Terms of Service - Additional Terms