EMNLP-CoNLL 2012 Application for Student Travel Grant
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1. Name

2. Email address

3. Mailing Address

4. University

  4a. University name
  4b. Department/school
  4c. City
  4d. Country

5. Reason for attending EMNLP-CoNLL 2012 (one or two paragraphs)

6. Paper(s) accepted at EMNLP-CoNLL 2012

  7a. Presentation mode (oral or poster)
  7b. Paper id
  7c. Paper title
  7d. Authors

7. Other sources of funding available for this trip

  7a. Sources
  7b. Amounts potentially available from each source
  7c. Amounts already confirmed from each source

8. Reason for which the conference should select my application over others
(preferably one or two paragraphs; definitely not more than five paragraphs)

9. Declaration: By typing my name below, I certify that I carefully read and
understood the instructions and restrictions associated to applications for
student travel support, as specified on the conference website. I confirm
that I qualify for applying for travel support. It is my responsibility to
ensure that my application is submitted in accordance with the posted
instructions; and that data included as part of my application, whether part
of this form or part of separate supporting evidence, is accurate and complete.
I authorize the conference to review and verify data included in my
application, for the purpose of selecting recipients of student travel grants.

10. Date

11. Signature (type your name)