Student Travel Grant Application
                     ================================
               (for ACM SIGMETRICS 2001 / Performance 2001)


______________________________________________________________________
Name

______________________________________________________________________
Street Address

______________________________________________________________________
City, State, Zip Code

___________________________    _______________________________________
Phone number                   E-mail address

______________________________________________________________________
Academic Institution & Department

______________________________________________________________________
Academic Advisor


Expense Request (Please estimate as best you can and please do not forget
to include sales tax for travel and accommodation.  Meals and rental cars
will not be reimbursed, so please do not include them.  Please also note
that the maximum grant is $1,000US for a student traveling within US and
$1,250US for a student traveling from outside of US.)

    Travel: (airfare, train fare)                   $______________

    Public transportation: (to and from airport)    $______________

    Accommodation:                                  $______________
    (room sharing or student housing on MIT campus)

    Registration fees -- Technical sessions:        $______________

    Registration fees -- Tutorial sessions:         $______________

    Total Requested:                                $______________


___ no ___ yes  Are you presenting a paper/poster at this conference?

___ no ___ yes  Are you an author of a paper/poster at this conference?

___ no ___ yes  If awarded a stipend, may we provide your name and
                email address to other stipend recipients in order to
                facilitate room sharing at the conference/workshop?

___ no ___ yes  If you are awarded less than the requested amount, can
                your travel be covered, fully or partially, under some
                other grant (e.g., your advisor's research grant)?

(Note: If you submit this electronically, you do not need to sign below.
       Your e-mail will be retained for records.)



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Signature                                Date