APPLICATION FOR SUPPORT FOR TRAVEL AND ATTENDANCE AT SIGIR 2012
===============================================================


Applicant Information
=====================
Name: 
Mailing Address: 
Nationality: 
Email address: 
Telephone number: 
Fax number: 
Study status (student, graduate student, faculty member, researcher): 
If a student, anticipated thesis submission date :
Have you attended a previous SIGIR (no, yes/year(s)): 
If yes, list any SIGIR Travel grants awarded (year/amount) :


Advisor Information
===================
(if you have indicated that you are a student this person may be
contacted to confirm your student status and the likely level of
institutional support being provided) 
Name: 
Mailing Address: 
Email address: 
URL: 
Telephone number: 
Fax number: 


Publication Information
=======================
(duplicate this section as many times as necessary to show all roles
that you will have at the conference)
Type of presentation (paper, poster, demo, doctoral consortium): 
Title: 
Author status (equal/principal author, secondary/other author): 
Full author list: 
Are you presenting this work (yes, no): 


Funding Information
===================
(give anticipated costs, indicating currency used and conversion
rate to US$)
Transportation costs: 
Transport routing/airline: 
Accommodation costs: 
Living costs: 
Registration costs: 
Other costs (give details): 
Expected total: 
Other funding sources already committed: 
Amount committed: 
Other funding sources applied for: 
Amount requested from other sources: 
Total grant applied for from SIGIR: 


Donald B. Crouch Travel Grant Applications
==========================================
If you wish to apply for a Donald B. Crouch Grant, add further details
of your educational background so that your application can be assessed
against the selection criteria for these awards, namely that students
should be studying and living in a developing country.  Students who
have previously lived and studied in developing countries may also apply.


Submission
==========

Email this form as a plain text attachment to Ian Soboroff, isoboroff /
gmail.com by June 12, 2012 in an email with "SIGIR Travel Application" 
in the Subject field.  All submissions will be acknowledged.
Decisions will be communicated on or before June 26.


Ian Soboroff
April 27, 2012