<p class="MainText"><b>Student Travel Grant Application</b></p>
Please fill out the entire form below to recommend a student for travel assistance to the 37th International Conference on Plasma Science. Travel grants are available only to those students presenting as a first author and who are IEEE members. If your application
is approved, your registration fee will be waived.
In addition, you can elect to receive either (a) four nights (Sun-Wed)
in the conference hotel in a shared room (double occupancy) or (b) two
nights in the conference hotel in a single occupancy room. (The grant
committee will arrange same-sex roommates for the grant recipients that
choose double occupancy.)
Your Family Name:
*
Your Given Name:
*
Hotel stay options:
*
PLEASE SELECT ONE
Four nights free (Sun-Wed) with a roommate; I am male (for roommate assignment)
Four nights free (Sun-Wed) with a roommate; I am female (for roommate assignment)
Two nights free; no roommate
Your email address:
*
Your phone number:
*
Your postal mailing address:
*
Your IEEE member number:
*
Will you be attending a short course?
*
PLEASE SELECT ONE
course1
course2
none
Please provide the title, authors and text of your submitted abstract:
*
Budget in $US:(airfare, registration, lodging etc.)
*
Other comments:
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