Student Attendee Grant

[Carolyn Carr]

        	USENIX Association Student Attendee Grant
			Application Form

The Association will award a limited number of travel and accommodation
grants to full-time students interested in attending the USENIX
UNIX Security Workshop (August 27-28, 1990) in Portland, Oregon.
Interested full-time students should return this form
together with a copy of their current student identification to:
If you have not yet received information about registration,
please contact the USENIX  Conference Office at tel: 714-588-8649.

		Ellie Young, Executive Director
			USENIX Association
		2560 Ninth Street, Suite 215
			Berkeley, CA 94710

Applications must arrive by July 27,  1990.

_______________________________________________________
Name

______________________________________________________
Street Address

_____________________________________________________
City,  State,  Zip Code

___________________________    ______________________
Phone number			e-mail address

____________________________
Academic institution


Expense Request

Please estimate as best you can


Travel:			_________

Accommodation:		_________

Fees:			_________


Total Requested:	$_________


___________________________________
Date / Signature