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. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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