By March 1, 2009, please email the application to: cmmigc@ksu.edu Application Form (This application form has to be submitted together with a research poster) Student Name : Country : University : Department : Phone : Email : Poster title : Additional questions: (1) Does the research area in your poster belong to the CMMI division? YES NO (2) Are you from the underrepresented group (women, minority, or disabled)? YES NO (3) Are you a US citizen or permanent resident? YES NO (4) Are you a PhD student or a MS student? PhD MS (5) How many years have you been in the graduate program? 1 (6) Do you wish to apply for the additional $400 travel subsidies? (Available only to students who are currently studying at US universities.) YES NO (7) Will you be able to attend the conference without the travel subsidies? (Note that if your application is approved, you don’t need to pay for hotel rooms and conference registration). YES NO 2 3 4