gecco 2012 gecco 2012
gecco 2012
 
 
 
 

Student Travel Award Application:

Student Grant Applications are closed

First Name:
Last Name:
Your University or
Academic Affiliation:

Do you have a poster paper accepted at GECCO?


Submission ID numbers:

Yes   No



Do you have a full-length paper accepted at GECCO?


Submission ID numbers:





Do you have a paper accepted at a GECCO Workshop?


Workshop name:
Yes   No


Are you an undergraduate student?
Yes    No
(optional) Are you a member of an underrepresented minority (Woman, Hispanic, Pacific Islander, African American/Black, Native American)?
Yes    No
Are you a citizen of the United States?
Yes    No
Budget Please note that air travel should be based on super saver airfares. Please provide budget in US dollars.
Travel (e.g., air/auto):

Housing:

Total:





Email Address:
Address:
Address 2:
Address 3:
City:
Postal Code / Zip Code
Country
Daytime Phone (including country code)

Your application is NOT complete until you submit your proof of student status. Submit your proof of student status by email, fax, or mail to:

Email :

 

   

 



 
 
   
 

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