USENIX Association Student Attendee Grant

Carolyn Carr carolyn at usenix.ORG
Sat Dec 15 12:55:05 AEST 1990

        	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.


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

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