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inet93-devt-workshop.txt
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INET '93 Developing Countries Network Training Workshop
Application for Admission
Name:
Address:
Employer:
Telephone:
Telex:
Fax:
Electronic mail address (if any):
Nationality:
Knowledge of English:
__
Track applied for: |__| Basic technical track
(check one) __
|__| Advanced technical track
__
|__| Network services track
1. Please summarize your educational background and relate your training
to the prerequisites for the track you would like to attend.
2. Please describe your current job and duties and how they relate to
data networking activities in your country.
3. Please describe how you expect to implement the knowledge you gain
through attendance at the workshop and conference(s) upon your return to
your country. Do you anticipate any change in your position or duties
when you return as a result of your participation in these events?
4. If you are requesting financial aid from INET '93 for attending the
workshop and conference, please provide an itemized expenditure budget
for your travel and expenses. Please also provide an income budget
containing sources of income that are available to you for attending.
Please include with your application a signed statement from the head of
your institution stating that no additional funds (beyond those included
in your income budget) are available to you for the purpose of
undertaking this travel and participating in this training and
conference activity.
5. Please describe any issues or circumstances that would affect your
participation in the workshop, e.g. physical disabilities, medical
conditions, or dietary restrictions.
Signature: ________________________________ Date: _________________
Please return this application to:
Mail: INET '93 Developing Countries Workshop
c/o USRA
625 Ellis Street, Suite 205
Mountain View, California 94043
U.S.A.
Voice: 1.415.390.0317
Facsimile: 1.415.390.0318
Telex: 235128 NYU UR
(Attention: INET '93 Developing Countries Workshop)
Applications may be submitted electronically by sending electronic mail
to:
workshop-request@inet93.stanford.edu
======================================================================
George Sadowsky, Director Phone: (212) 998-3040
Academic Computing Facility Fax: (212) 995-4120
New York University Telex: 235128 NYU UR
251 Mercer Street Bitnet: sadowsky@nyuacf
New York, New York 10012-1185 Internet: sadowsky@nyu.edu