CHI 2001 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 2001 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.

Applicant Name
Affiliation
Contact Information
Mailing Address
Email Address
Telephone Number
Fax Number
List the title, author list and category for all your submissions.
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.
If you are aware of another source of funding available to you, have you applied for it? If so, please give specifics.
CHI 2001 scholarships will be awarded based on greatest financial need. Please describe on what basis you are a good candidate for a scholarship.
Please give a detailed budget for your needs.
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.
___ I will be able to pay the Conference Registration from other sources      ___ I need additional funding to pay the Conference Registration Fee

Completed forms should be received by the appropriate deadline. Send the application to the CHI Conference Office at the following address:

CHI Conference Office
703 Giddings Avenue, Suite U-3
Annapolis, MD 21401
USA