GECCO-2000 Student Travel Award Application

Name:

Affiliation:

Address:


Email:

Phone:


Did you submit a paper to GECCO-2000? _______Yes _______No

Do you plan to attend the PhD Student Workshop on Wednesday, July 8?

_______Yes ______No

Please submit proof of full time student status.

Budget

Travel (e.g. air/auto) __________

Housing __________

TOTAL __________

Please note that air travel should be based on super saver fares and housing should be based on sharing a room at the Riviera Hotel. The cost will be $65.00 single or double occupancy. Housing forms will be sent in the Student Travel Grant award packets.

I agree to submit an expense report to GECCO-2000 after the conference for any travel award made to me.

Name __________________________________________

Signature/Date _________________________________________