ACM CCS 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:
When you expect to finish:
Workshop to Attend:

Faculty advisor
Name:
E-mail:

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

ACM CCS program participation
Are you an author of an accepted paper(s), [list the titles and co-authors as ordered in the paper]?
If so, will you be presenting the paper(s) or poster(s) at the conference [list the titles]?
Have you published previously at CCS?

ACM CCS workshop program participation
Are you an author of an accepted workshop paper(s), [list the titles]?
Will you be presenting the paper(s) [list the titles]?
Have you published previously at this/these workshops?

Please identify the type of Support Requested:

Last modified: 2012-08-20 14:25:59 EDT

ACM CCS 2012