Use this form to apply online for an ACM SIGDA Travel Grant. The application will be sent to the SIGDA travel grant director. If you cannot use this form, you can email or mail the information to the Travel Grant Director as described on the main Travel Grant page.
Please visit the main Travel Grant page
for Travel Grant program requirements and general information before completing and submitting this form.
The review of your application depends in part on the completeness of the information you supply.
Is this a new submission or is it a correction to an already submitted request?
| Dean's name: | |
|---|---|
| Dean's email address: | |
| Dept Chair's name: | |
| Dept Chair's email address: | |
| (Required only if you are a student.) | |
| Advisor's name: | |
| Advisor's email address: | |
| Advisor's Address: | |
| Country | |
| State | |
| Zip Code | |
| Advisor's Phone Number | |
| Transportation | |
|---|---|
| Airfare: | |
| Departure City: | |
| Arrival City: | |
| Accommodations | |
| Number of Nights: | |
| Room Rate: | |
| Total Lodging: | |
| Name of conference or workshop: | |
|---|---|
| Conference WEB URL: | |
| Is this a SIGDA-sponsored conference? | |
| Conference Start Date: | -- |
| Your participation in the conference. | |
| Title of your paper or panel session: | |
| Early and Late registration fees: | |
| Early: | |
| Late: | |
| Deadline for early registration: | -- |
| ACM membership number: | |
|---|---|
| Date that you joined SIGDA: | -- |
| Date of last SIGDA travel grant: | -- |
| Statement of financial need: | |
| Please list other sources of funding that you have investigated: |
Please upload the letter of financial needs (PDF file):