IS09 Conference Fund - Attendance at Interspeech 2016 Application form The following form must be filled in carefully by the candidate and sent back by EMAIL ONLY to Cassia Valentini by 8 July 2016. Please include as email attachments: - this application form - the documents listed at the bottom of this form. Incomplete applications will be rejected. 1) The CANDIDATE Name: ...................................................... Institution: ................................................ Address: .................................................... Country: .................................................... Email address: .............................................. ++++++++++++++++++++++++ 2) The PRESENTATION(S) (please duplicate this section if you have had more than one paper accepted) Title of the paper: ..................... Ordered list of authors: ..................... Status of the Paper: ..................... (accepted/submitted/invited) Type of presentation (oral, poster): ..................... ++++++++++++++++++++++++ 3) PROVISIONAL BUDGET a) Currency: ...... b) Expenses: Registration fees ...... Accommodation fees ...... Transportation ...... Others ...... / Justification: ................. c) expected support: From IS09: £600 From others: Amount: ...... / Status: ....... / Origin: ........... Status : accepted, requested, etc. (Duplicate this section if you have applied for or are receiving funds from multiple sources to support your attendance.) ++++++++++++++++++++++++ Declaration: I hereby certify the authenticity of the above information. In the event that I receive funding from other sources that covers my attendance costs at this conference, I will not claim an IS09 conference grant, even if this has been awarded to me. Date:....... Signature............. ++++++++++++++++++++++++ 4) ADDITIONAL DOCUMENTS Please send the following documents as additional attachments. 1. A copy of the acceptance email(s) you have received from the Interspeech 2016 organisers. 2. A letter of support (email is acceptable) from your supervisor (students) or the Director of your Laboratory (early-career researchers). 3. A brief CV (three pages maximum) that includes a list of your other publications and details of other conferences and workshops that you have attended. 4. A copy of the paper(s) to be published in Interspeech 2016.