ACM CCS 2009 Workshop Student Travel Support Application

Name:

Postal Address:
Email:
Homepage URL:

ACM member number:
(or date of application, if you have not received your number yet)

University Enrolled:
Department:
Degree pursued and number of years in the program:
When you expect to finish:
Workshop to Attend (if any):

Faculty advisor
Name:
E-mail:

Have you attended ACM CCS before?
Have you previously received an ACM CCS travel support?

ACM CCS workshop program participation
Are you an author of an accepted paper(s), [list the titles]?
If so, will you be presenting the paper(s) at the conference [list the titles]?
Have you published previously at CCS?

If you are attending a workshop:
Type of Support Requested (choose ONE of the following):

A. Workshop registration waiver (Yes/No)
B. A check of $560 to cover registration and transportation cost? (Yes/No)
c. I will be able to attend without this support.

Workshop Travel Award Evaluation Criteria

Selection criteria are as follows: