2003 Federated Computing Research Conference June 7-14, 2003 San Diego, California FCRC '03 Educator's Grant Program Application Form ------------------------------------------------------------------------- Name: Institution: Mailing Address: E-mail Address: Phone Number: If selected, may we include your name and above contact information in a participants list to be distributed to the participants in the FCRC '03 Educators' Grant Program? (Yes/No) Courses Taught 1. Please list the computer science courses that you have taught in the last two years. 2. Please list the computer science courses that you expect to teach in the next two years. Indicate which courses will benefit from your attending FCRC'03. Female and Minority Students 3a. How many students you have taught in computer science courses during the last two years? 3b. Approximately what percentage of these students have been Female: Hispanic: African American: American Indian or Alaska Native: Native Hawaiian or Pacific Islander: 4a. How many students do you expect to teach in computer science courses during the next two years? 4b. What percentage of these students do you expect to be Female: Hispanic: African American: American Indian or Alaska Native: Native Hawaiian or Pacific Islander: 5. Please rank the first five or six conferences you would like to attend in order of preference. We have a limited number of slots in each of the meetings, so we may not be able to accomodate your first choice. ___ APL 2003: Array Programming Language Conference ___ EC'03: The Fourth ACM Conference on Electronic Commerce ___ LCTES: ACM SIGPLAN Symposium on Languages, Compilers, and Tools for Embedded System ___ ISCA: International Symposium on Computer Architecture ___ MOD/PODS: ACM SIGMOD/PODS 2003 Conference ___ PLDI: ACM SIGPLAN Conference on Programming Language Design and Implementation ___ PPoPP: ACM SIGPLAN Symposium on Principles and Practice of Parallel Programming ___ PADS: Parallel and Distributed Simulation Workshop ___ PCK50: Principles of Computing and Knowledge: Paris C. Kanellakis Memorial Workshop ___ SAS: Static Analysis Symposium 2003 ___ SCG: Annual ACM Symposium on Computational Geometry ___ SIGMETRICS: International Conference on Measurement and Modeling of Computer Systems ___ SPAA: ACM Annual Symposium on Parallelism in Algorithms and Architectures ___ STOC: Annual ACM Symposium on the Theory of Computing ___ SOFTVIS: ACM Symposium on Software Visualization Some of the above conferences have associated tutorial programs. Please list, in order of preference, any tutorials you would like to attend: We may be able to arrange for you to attend two conferences and/or tutorials, if space permits. To let us know how many meetings you might be able to attend, please indicate how many days would you like to spend at FCRC: Personal Data 6. Check all that apply: ___ U.S. Citizen ___ Female ___ Permanent Resident ___ Hispanic ___ Non-U.S. Citizen ___ African American ___ Asian ___ Caucasian ___ American Indian or Alaska Native ___ Native Hawaiian or Other Pacific Islander 7. Were you awarded a grant to attend: ___ PLDI '99 ___ PLDI '97 Statement of Purpose 8. Please give a brief statement describing (A) your professional goals, (B) why attending the FCRC conferences will help you to achieve these goals, and (C) how this will help to improve the representation of women and minorities in computer science. Travel Budget 9. Please attach an estimated travel budget. Note that each full day registration includes continental breakfast, lunch, and coffee breaks. The conference hotel, the San Diego Town and Country Resort and Convention Center will provide rooms at the special conference rate of $128-$168 per night, depending upon the number of people in the room. To secure the conference rate, call 800-77-ATLAS and mention ACM. Certain airlines may offer discounted rates. For more details on hotel and travel arrangements, see the FCRC '03 web site. To receive funds, participants will be required to submit after the conference both a completed evaluation form and a travel expense form with original receipts. Full reimbursement will not be guaranteed if actual costs exceed the estimated costs by a significant amount. The maximum allowable reimbursement under this program is $1,000 per participant. Supporting Documentation 10. The following additional documentation is needed to complete your application: * Letter of endorsement from your department chair or dean * Current curriculum vitae Please mail (either electronic mail or physical mail) your letter of endorsement and your curriculum vitae to the FCRC '03 Educator's Grant Chair: Kathleen Fisher AT&T Labs Research 180 Park Ave., E244 Florham Park, NJ 07932 kfisher@research.att.com Completed applications must be received by April 15, 2003. Grant recipients will be notified by May 2, 2003.