APPLICATION FORM FOR ASPLOS'98 STUDENT TRAVEL GRANT from ACM SIGARCH Deadline: September 30, 1998 NAME: __________________________________________________________________ TELEPHONE: _____________________ E-MAIL: _______________________________ UNIVERSITY AFFILIATION: _______________________________________________ DEPARTMENT: _______________________ SOCIAL SECURITY #: ______________ MAILING ADDRESS: _________________________________________ _________________________________________ _________________________________________ THESIS ADVISOR: ___________________________________________ (Ask him/her to send an e-mail to Alan Berenbaum at adb@bell-labs.com stating that you are a full time student pursuing an MS/Ph.D thesis in the area covered by ASPLOS under his/her supervision.) LIST PAPERS ACCEPTED TO ASPLOS'98: 1. TITLE:______________________________________________________________ PAPER PRESENTER:____________________________________________________ 2. TITLE:______________________________________________________________ PAPER PRESENTER:____________________________________________________ BRIEF DESCRIPTION OF YOUR TECHNICAL INTERESTS WITHIN COMPUTER SYSTEMS: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ PLEASE STATE OTHER SOURCES OF TRAVEL MONEY AND EXTENT OF NEED: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ESTIMATED TRAVEL EXPENSES: TRAVEL: ( __________________________________ , To San Jose, California ) AIR-CARRIER TO BE USED: __________________________ ROUND TRIP COST: __________________________________ Please send this form to: Alan Berenbaum adb@bell-labs.com Bell Labs, Lucent Technologies 600 Mountain Avenue, Room 2C-525 Murray Hill, NJ 07974 USA +1-908-582-3655 fax +1-908-582-4417