Royal Zoological Society of NSW: EMR Grant Webform

Royal Zoological Society of NSW
Ethel Mary Read Research Grant Fund

APPLICATION COVERSHEET
(The original plus 4 copies must be submitted)

Name ..................................................................................................................................................................................

Address (for correspondence: If successful, cheques will be mailed to this address)

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............................................................................................................................. Postcode ..........................

Telephone

Work ...........................................................

Home .....................................................................

Email .......................................................................................................................................................................

Occupation .......................................................................................................................................................................

Qualifications and/or experience ............................................................................................................................

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Amount requested (max. $1500) .............................................................................................................................

Project title ........................................................................................................................................................................

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Has project started? YES/NO

If YES, when? ........................................................

Is this project part of another one? YES/NO

If YES, provide details:

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Has this project received any other financial support, or have you applied to other bodies for support? If so, name the bodies, amounts requested, and any amounts granted so far.

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The names, address and phone numbers of two (2) people who could comment on this project proposal. One of them must be your academic supervisor, if you have one.

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