USENIX Association Student Attendee Grant

[Carolyn Carr]

        	USENIX Association Student Attendee Grant
			Application Form

The Association will award a limited number of travel and accommodation
grants to full-time students interested in attending the USENIX
Winter 1991 Conference Program (January 21-25, 1991) in Dallas, TX.
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, 1991.

If you have not yet received information about registration,
please contact the USENIX Conference Office at tel: 714-588-8649.

_______________________________________________________
Name  

______________________________________________________
Street Address 

_____________________________________________________
City,  State,  Zip Code

___________________________    ______________________
Phone number			e-mail address

____________________________
Academic institution


Expense Request

Please estimate as best you can


Travel:			_________

Accommodation:		_________

Fees:			_________


Total Requested:	$_________


___________________________________
Date / Signature