2006 USNC URSI Student Travel Support Application

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2006 USNC URSI National Radio Science Meeting
Student Travel Support Application Form

Complete the information requested below and click the "Submit" button at the bottom of the form.

All students attending a U.S. University are eligible to receive a registration fee waiver
and additional financial support.
Local students (living within 50 miles of Boulder, CO) are eligible to receive mileage.
All non-local students are eligible to receive a lodging stipend.

All students requesting financial support must fill out this application form.
The application deadline is September 18, 2005.

Your Last Name :
Your First Name:
Your University's name and departmental or laboratory mailing address:
Your Phone:
Your Fax :
Your E-mail:
Your mailing address (if different from University address):
Expected Degree and Date of Graduation:

BS MS PhD

Date of Graduation (estimate year, or month and year):
Advisor(s) Name, Phone Number and email:
Your Advisor(s) will be contacted to send an e-mail verifying your student category.
Failure to supply a valid advisor(s) email address may hinder your application for financial support.

2006 USNC URSI National Radio Science Meeting Student Travel Support Application Form

2006 USNC URSI National Radio Science Meeting
Student Travel Support Application Form