STUDENT STIPENDS

[Ellie Young]

        	USENIX Association Student Attendee Grant
			Application Form

The Association will award a limited number of travel and accomodation
grants to full-time students interested in attending the Washington D.C.
Technical Conference (January 22-26, 1990). 
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, 1990.

_______________________________________________________
Name  

______________________________________________________
Street Address 

_____________________________________________________
City,  State,  Zip Code

___________________________    ______________________
Phone number			e-mail address

____________________________
Academic institution


Expense Request

Please estimate as best you can

Travel:			_________

Accomodation:		_________

Fees:			_________

Total Requested:	$_________


___________________________________
Date / Signature