Scholarship application form
Please note that an author is not eligible for a scholarship unless at least one submission by the author is accepted. The completed application must be received by the appropriate deadline. All completed forms will be treated as confidential. The CHI 2003 Scholarship Committee will review all applications and make the final decisions on awards after the decisions are made for the appropriate category submissions.
Note -- please print this form and fill it out -- this is not a web-based form.
Category Deadline for Scholarship Application
Category |
Deadline |
Tutorials |
23 September 2002 |
Interactionary |
6 December 2002 |
Submission categories due on 23 September 2002 |
23 September 2002 |
Submission categories due on 7 January 2003 |
7 January 2003 |
Applicant Name: |
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Affiliation: |
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Contact Information: |
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Mailing Address: |
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Email Address: |
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Telephone Number: |
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Fax Number: |
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List the title, author list and category for all your submissions. |
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According to ACM policy, authors should first seek funding from other sources available to them. Do you have any other funding source? If so, please give specifics. |
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If you are aware of another source of funding available to you, have you applied for it? If so, please give specifics. |
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CHI 2002 scholarships will be awarded based on greatest financial need. Please describe on what basis you are a good candidate for a scholarship. |
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Please give a detailed budget for your needs. |
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The ACM and SIGCHI scholarship funds are not intended to cover conference fees. If you have difficulty paying for the conference registration fee, please indicate this. |
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I will be able to pay the Conference Registration from other sources |
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I need additional funding to pay the Conference Registration Fee |
Completed forms should be received by the appropriate deadline. Send the application to CHI 2003 Conference Headquarters at the following address:
CHI 2003 Conference Headquarters
attn: Ellen Spitzbart
Smith Bucklin and Associates
401 N. Michigan Avenue
Chicago, IL 60611
USA
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