Application for ASPLOS student travel grant ================================================================ NAME: __________________________________________________________________ TELEPHONE: _____________________ E-MAIL: _______________________________ UNIVERSITY AFFILIATION: _______________________________________________ DEPARTMENT: _______________________ SOCIAL SECURITY #: ______________ ACM MEMBERSHIP NUMBER: _______________________________________________ MAILING ADDRESS: _________________________________________ _________________________________________ _________________________________________ THESIS ADVISOR: ___________________________________________ (Ask him/her to send an e-mail to Allan Gottlieb gottlieb@nyu.edu stating that you are a full time student pursuing an MS/Ph.D thesis in the areas covered by ASPLOS under his/her supervision.) LIST PAPERS ACCEPTED TO ASPLOS 2002 1. TITLE:______________________________________________________________ PAPER PRESENTER:____________________________________________________ 2. TITLE:______________________________________________________________ PAPER PRESENTER:____________________________________________________ OTHER SERVICE TO ASPLOS 2002 (e.g. workshop presentation, etc.) ___________________________________________________________________________ ___________________________________________________________________________ OTHER SOURCES OF TRAVEL MONEY AND EXTENT OF NEED ___________________________________________________________________________ ___________________________________________________________________________ ESTIMATED TRAVEL EXPENSES: TRAVEL FROM ____________________________ To San Jose, CA AIR-CARRIER TO BE USED: __________________________ ROUND TRIP COST: __________________________________ LODGING: _______________________________________ REGISTRATION: __________________________________