carolyn@usenix.ORG (Carolyn Carr) (12/15/90)
USENIX Association Student Attendee Grant Application Form The Association will award a limited number of travel and accommodation grants to full-time students interested in attending the USENIX Winter 1991 Conference Program (January 21-25, 1991) in Dallas, TX. Interested full-time students should return this form together with a copy of their current student identification to: Ellie Young, Executive Director USENIX Association 2560 Ninth Street, Suite 215 Berkeley, CA 94710 Applications must arrive by January 2, 1991. If you have not yet received information about registration, please contact the USENIX Conference Office at tel: 714-588-8649. _______________________________________________________ Name ______________________________________________________ Street Address _____________________________________________________ City, State, Zip Code ___________________________ ______________________ Phone number e-mail address ____________________________ Academic institution Expense Request Please estimate as best you can Travel: _________ Accommodation: _________ Fees: _________ Total Requested: $_________ ___________________________________ Date / Signature