___________________________ Application form: ___________________________ The following form must be filled in carefully by the candidate (the preferred file format is ascii text) and sent back by EMAIL ONLY to the ISCA grant coordinator: Alan BLACK ISCA Coordinator grants@isca-speech.org Carnegie Mellon University 5000 Forbes Avenue Pittsburgh, PA 15213, USA Tel. 1-412-268-6299 Fax. 1-412-268-6298 with a copy of the paper presented to the conference and with a complete provisional budget (incomes and outcomes). It is important to highlight in this budget the other sources of funding (non ISCA funding), in order to complete the ISCA grant. 1) The CANDIDATE Name: ...................................................... Institution: ................................................ Address: .................................................... Country: .................................................... Email address: .............................................. Telephone / FAX: ............................................ Date of Birth: ..................... ISCA Membership Number: ..................... ISCA member since: ........... ++++++++++++++++++++++++ 2) THE CONFERENCE Title of the event: ..................... Organizer: ..................... Location: ..................... Conference website: http://.............. Dates: ..................... Deadline for early registration: ..................... Deadline for paper acceptance: ..................... ++++++++++++++++++++++++ 3) THE PRESENTATION (please duplicate in case of more than one presentation) Title of the paper(s): ..................... Ordered list of authors: ..................... Status of the Paper: ..................... (accepted/submitted/invited) Type of presentation (oral, poster): ..................... Type of publication: ..................... (proceedings, book, abstracts only, etc.) ++++++++++++++++++++++++ 4) PROVISIONAL BUDGET a) Currency: ...... b) Expenses: Registration fees ...... Accommodation fees ...... Transportation ...... Others ...... / Justification: ................. c) expected support: by ISCA: ...... Others: (Duplicate in case of multiple sources; Status : accepted, requested, etc.) Amount: ...... / Status: ....... / Origin: ........................ ++++++++++++++++++++++++ I hereby certify the authenticity of the above information. In case of more fundings obtained from other sources than ISCA, I commit myself to reimburse ISCA the difference. I will make an original report on the conference and send it to ISCA within one month after the conference. Date:....... Signature............. ++++++++++++++++++++++++ 5) ADDITIONAL DOCUMENTS Send by email the following documents to the ISCA Grant coordinator (fax or regular mail are possible ONLY with the agreement of the grant coordinator) 1) The above application form carefully filled in, 2) A curriculum Vitae with academic records 3) A complete list of previous publications (title, year, co-authors, journal/book/proceedings, pages) 4) A list of the conferences, workshops, summerschools, etc. that you have already attended. 5) Letter of acceptance of the paper(s) from the conference organizers, 6) Copy of the other application forms (sent, accepted or rejected) for co-sponsoring, 7) Copy of the original manuscript(s) accepted (or submitted) to the conference, 8) A recommendation letter (email is acceptable) from the Director of your Laboratory. ----------------------------