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 _________________________________________