Document 13649119

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AAAI Student Scholarship & Volunteer Application ~ Aug 7-11, 2011
Instructions: Volunteer applicants: please complete Parts 1 and 2. Scholarship applicants: please complete Parts 1, 2, and 3.
(Scholarship applicants are requested to volunteer also.)
Part 1: Name and Contact Information
Name:
Institution & Department:
Mailing Address:
Email address:
Telephone (daytime):
AAAI Membership I.D. #:
(AAAI membership is required; membership applications may be submitted concurrently and are available at
www.aaai.org/Membership/membership.php. Write “pending” if applying for membership concurrently.
Are you presenting a paper/poster at AAAI-11? Yes
No
If yes, please indicate program name:
(Technical Program, Workshop presentation, IAAI, Poster Session, etc.)
If you are not presenting a paper/poster, please include a letter of recommendation from your faculty advisor.
Faculty Advisor:
Email address: ________________________________________
Part 2: Volunteer Application
Are you available to perform volunteer work during the following dates?
Sat, Aug 6 - Thurs, Aug 11, 2011 Yes
No
Indicate any dates you cannot work: _____________
Would you like to volunteer in a particular Workshop or Tutorial? If yes, please indicate session name:
Volunteers work approximately half-day shifts during the conference. The majority of volunteers are needed on Sun, Aug 7 and
Mon, Aug 8 to help with workshops and tutorials. If you cannot work on these days, please indicate so above. We also need 8
volunteers to help with set up before the conference begins on Sat, Aug 6. There are a limited number of volunteer positions and
preference is given to student scholarship recipients; however, all eligible students are encouraged to apply.
Part 3: Scholarship Application (optional)
Have you received an AAAI scholarship previously? Yes
BUDGET:
Airfare
US $
Housing
US $
Less funding from other sources:
US $
TOTAL funds requested:
US $
No
If yes, indicate event:
(based on discounted economy fares)
Scholarship funds are issued after the conference upon receiving your expense report with original receipts.
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APPLICATIONS MUST BE RECEIVED BY MAY 20, 2011
Submit form by either EMAIL: volunteer11@aaai.org ~or~ FAX: +1 650 321 4457
~or~ MAIL: AAAI-11 Scholarship/Volunteer Program ~ 445 Burgess Drive #100 ~ Menlo Park, CA 94025-3442
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