USENIX STUDENT GRANT APPLICATION

[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 1991 Summer
Conference in Nashville, Tennessee on June 10-14, 1991.

Interested full-time students should return this form
together with a copy of their current student identification to:

		Doug Nielson, Deputy Executive Director
		 	USENIX Association
		  2560 Ninth Street, Suite 215
			Berkeley, CA 94710

NOTE:  We cannot consider your application without a copy of your
current student identification card.

Applications must arrive by May 6, 1991.

If you have not yet received information about registration,
please contact the USENIX conference office at tel: 714/588-8649.


_______________________________________________________
Name  

______________________________________________________
Street Address 

_____________________________________________________
City,  State,  Zip Code

___________________________    ______________________
Phone number			e-mail address

____________________________
Academic institution


Expense Request

Please estimate as best you can


Travel:				_________

Accommodation:			_________

Registration fees:
Technical sessions - $75
Tutorials - $50 each
				_________


Total Requested:		$_________


___________________________________
Date / Signature

Are you a member of USENIX Association?  ____ yes    ____ no
As a student, you may receive regular member benefits for only
$15.  If you are interested, please contact office at usenix.org.