IEEE/IFIP MMNS 2001 Student Conference Grant Application Form Student Conference Grants will be awarded to a very limited number of full-time graduate students who are members of IEEE. These grants may cover conference or tutorial registration fees. To apply, fill out the form below and return by e-mail to brewster@cs.depaul.edu or by fax to 1-312-362-6116 (include a separate fax cover sheet stating "ATTN: DR. GREG BREWSTER"). Application deadline is August 25, 2001. Recipients will be notified by e-mail by August 29, 2001. NAME: ________________________________________________________ ADDRESS: _____________________________________________________ ______________________________________________________________ E-MAIL: ______________________________________________________ IEEE MEMBER NUMBER: __________________________________________ UNIVERSITY: __________________________________________________ FUNDS REQUESTED (specify amounts in U.S. dollars): Registration Fees ________ On separate pages, please attach the following: (1) A listing of any previous grants or awards you have received. (2) A listing of your other publications, if any.