SC2000 MSI Grant Submission Form

Please complete all parts of this form.

First Name (Middle Initial)
Last Name
Title
Dr. Prof. Ms. Mr.
  Academic Institution
Type of Organization
Street
City

State/Province
Zip/Postal Code

Country
Phone
Fax
Email
 


What is the highest level of education you have completed?
What is the area of your present professional work?
Other (please specify)
Other (please specify)
To what extent do you conduct professional research?
To what extent do you use high performance computing resources (HPC) for your work?
If you use HPC resources, what type(s) of HPC equipment do you use?
Briefly describe your areas of professional interest:
Are you a US citizen or permanent resident?
US citizen
Permanent Resident
Have you ever attended the SC conference before?
Yes
No
Please state briefly why you would like to attend SC2000:
Please state briefly how our support of your SC2000 participation will further our goals of reaching out to underserved groups:


  SUBMIT!
Please review all of your information for completeness and accuracy. When ready to send, click on the submit button below.