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Skutch Award Application Form

Applicant information

First Name *

Last Name *

Are you a member of AFO? *YesNo

Email Address *

Phone *

Street Address *

City

State/Province

ZIP / Postal Code

Country

Study Information

Title of study *

Amount of funding requested from AFO

USD

Not to exceed $10,000 USD when converting from local currency

Starting date *

Anticipated duration of study *

Reference information

Name of primary research supervisor (if any)

Is supervisor a member of AFO?YesNo

Name of person supplying reference letter *

Reference's phone number *

Reference's email address *

Attachments

Attachment 1/4: Applicant's CV *

No file chosen

A curriculum vita no longer than two pages in length summarizing academic degrees, relevant employment history, current position, and any publications

Attachment 2/4: Research Proposal *

No file chosen

A research proposal, not exceeding three single-spaced pages, which describes the purpose of the study and its scientific or conservation significance, contains a brief description of the methods to be used and the facilities available for the study, and includes any critical, supporting citations

Attachment 3/4: Budget *

No file chosen

A budget itemizing total costs for the proposed project and indicating the amount you are requesting (not to exceed $10,000 USD when converting from local currency)

Attachment 4/4: Description of additional funding *

No file chosen

A description of other funding for the study that has been awarded/received or has been (or will be) requested in the near future. The award committee considers need, so a statement can be included with the budget describing the probability of the project's completion if the Skutch Award is not received.

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