SIGDA Travel Grant Form

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.

The application should include the following items:

Click on "Send Application" to submit this form after filling the fields.

Contact Information:

Your name:

Your email address:

Your postal (snailmail) address:




Please be sure to include your country and postal/zip code.

Your phone number (please include country/area/city codes):
Your FAX number (please include country/area/city codes):
Your Affiliation (ie University or Company):

Is this a new submission or is it a correction to an already submitted request?

New Submission Re-Submission

Dean, Chair, Advisor Contact Information:

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 postal (snailmail) address:




Please be sure to include Advisor's postal/zip code.

Advisor's phone number (please include area/city codes):

Estimated Expense Information:

Transportation
Airfare:
Departure City:
Arrival City:

Accommodations

Number of Nights:
Room Rate:
Total Lodging:

Conference Information:

Name of conference or workshop:

Conference WEB URL:

Is this a SIGDA-sponsored conference?
Yes
No
I don't know

Conference Start Date:

Your participation in the conference.
(e.g., author, speaker, panelist, session chair):

Title of your paper or panel session:

Early and Late registration fees:
Early:
Late:

Deadline for early registration:

SIGDA Membership Information: (Required)

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:

The letter of financial needs from your Advisor, Department Chair, and Dean is required for you to complete the application.
It can be one letter with three signatures.

Please upload the letter of financial needs (PDF file):