Please email the completed form to: [email protected]

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By March 1, 2009, please email the application to: [email protected]
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
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