Last Name:
Street Address:
Address (Cont'd.):
City: State: Zip Code:
Country (if other than USA):
Institution or Affiliation:
Email Address:
I certify that I am a (check one):
Undergraduate student Graduate student Non-tenure track faculty Other (Please specify):
Proposal accepted for (check one):
Computers and Writing Conference Graduate Research Network (submission is considered acceptance) Both
Can you help? Even small contributions ($5, $10, or more) are welcomed. The more money we raise, the more we can give away! Ask your colleagues, fellow students, professors, department chairs, deans, friends, family, local businesses, etc., to help! For more information, see the C&W Travel Grants page at http://class.georgiasouthern.edu/writling/GRN/2010/awards.html.
NOTE: Contribution not required for consideration for award.
Send check made payable to GSU Foundation, A/C #0694 to: Dr. Janice R. Walker Dept. of Writing and Linguistics Georgia Southern University P.O. Box 8026 Statesboro, GA 30460