Graduate Student Travel Support Application Form
(application and all letters of endorsement must be submitted beforeFebruary 07,  2011)

Student Information
* First Name

* Last Name

IEEE Membership Number (if member)

* Address

* Phone

Fax

* E-mail Address


Graduate Study Information
* Type of Degree (Ph.D. or equivalent, or M.S.)

If M.S. is the Degree a Masters only program? (Yes/No)

* Start Date (MO/YR)

* Expected Graduation Date (MO/YR)

* Thesis Title

* Thesis Description (1-2 sentence description of thesis work)


Conference Presentation Information
 

Are you an author on a paper or papers at the conference?


If Yes:
Paper Number(s) (e.g. AA-01)

Are you presenting a paper at the conference?

If yes:
Paper Title

Paper Number(s) (e.g. AA-01)

Paper Authors


Estimated Travel Expenses
* Airfare

* Lodging

* Food

Other Expenses


Have you received a travel award for a previous IEEE Magnetics Society sponsored Conference?
(e.g. Intermag, MMM, TMRC)


 

Advisor Information
* First Name

* Last Name

Address

* Phone

Fax

* E-mail Address



I agree to write a brief account of my experiences at the conference for possible inclusion in the IEEE Magnetics Society newsletter.