COMNAP and IAATO Antarctic Fellowships Application 2019

Application for COMNAP and IAATO Antarctic Fellowships 2019

The COMNAP and IAATO Antarctic-related fellowships are designed to encourage the active involvement of "early-career" people. Applications are welcome from a range of disciplines and fields, including but not limited to, those with Engineering, Environmental Management, Tourism-related, Data Management, Technology, Social Sciences, Humanities, Education, Communication and Outreach, Law, Operations and Logistics, Search and Rescue, Medical and Science backgrounds.
(Please answer all questions. Please enter NA if the question is not applicable.)
What Fellowship are you applying for?*

COMNAP FellowshipIAATO Fellowship

1. APPLICANT INFORMATION
Title
(e.g. Dr., Lecturer, etc.)
Gender*

MaleFemalePrefer not to specify
Full Name*

First/Given NameLast/Family Name
Home Institute*
Home Institute Postal Address
Applicant telephone or mobile number*
Please provide FULL country code. The format of the phone number should be like this +44 1223 336550
Applicant email address*
We will contact you using this email address - please provide one which will be regularly checked.
Alternative email address
for example: gmail, yahoo, hotmail

2. APPLICANT CURRENT RESIDENCE AND CITIZENSHIP INFORMATION
Country of Birth*
Country of Citizenship*
Country of Current Residence*

3. APPLICANT ACADEMIC BACKGROUND
Details of Highest Education Earned
School/College/University/Training Provider*
Please state the name of the institute and the town/city
From Month*
Year*
To Month*
Year*
Qualification gained*

4. APPLICANT CURRENT POSITION
What is your current position?*

Postgraduate StudentPost-Doctoral ResearcherOther
Qualification/Degree to be gained
Please give your job title
Institute/College/University/Organisation
Please state the name of the institute and the town/city
Please give the start date and the estimated end date of your qualification or contract
From Month
Year
To Month
Year
Current Research/Work
Please give a summary of your current research/work
(maximum 50 words)
Professional bodies
Please give details of membership of any professional bodies

5. DETAILS OF PROPOSED HOST AND PROPOSED HOST INSTITUTE

(Details of where and with whom you intend to work)
Proposed Host*
Please write full name (Title, Forename, Surname)
Proposed Host Institute*
Host Institute Postal address*
Please include full mailing address, including post code
Host Country*
Day time telephone or mobile number of Proposed Host*
Please provide FULL country code. The format of the phone number should be like this +44 1223 336550
Email address of Proposed Host*
Have you been accepted by the proposed host institute?*

YesNo
When do you expect to be notified?
(MM/YYYY)
Proposed duration of visit to Host Institute (in months)*
Anticipated start date of visit*
Total Fellowship award request (US$)?*
(a detailed breakdown is to be provided in the Proposal)
Please upload your Host Institute Agreement Form (Cover Note 2) here*

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6. REFERENCE FROM HOME INSTITUTE
Referee from Home Institute*
Please write full name (Title, Forename, Surname)
Home Institute Postal address*
Please provide full mailing address, including post code and country
Daytime telephone or mobile number of Referee*
Please provide FULL country code. The format of the phone number should be like this +44 1223 336550.
Email address of Referee from Home Institute:*
Please upload your Home Institute Agreement Form (Cover Note 1) and the Letter of Reference as a single document here*

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7. PROPOSAL

(Maximum length 1000 words + Any References cited + Any Illustrative material)
Applicants should provide a description of the project they intend to undertake, indicating its expected achievements and showing, in particular, what the applicant, the home institute (if applicable) and the host institution are expected to gain from the realisation of the work. The proposal must include the following headers and must answer the questions posed within each header. (The word count for the proposal does not include any references cited or any extra illustrative material – e.g. tables and/or figures).

Project Title: [Enter the title of the proposed project ensuring that it meets the specified criteria.]

Objectives: [What are you going to do?]

Methodology: [How are you going to do it?]

Deliverables: [What do you expect to achieve?]

Success Factors: [What will you expect to be the result when the project has been completed?]

Why is this particular project important to you? [Your background/interests in regards to this project]

Budget:
- How much money is required/are you requesting, and how will the money be spent? Please outline a budget indicating approximate expenditures on travel, accommodation, subsistence, materials, and other anticipated costs.
- Are you able to obtain additional financial support? If so, how much and from where?
References cited (if any, maximum 1 page)

Illustrative material - tables and figures (if any, maximum 1 page)
Please upload your Proposal as a single document here*

Upload a File

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8. DECLARATION AND SIGNATURE

APPLICANT SIGNATURE (Please enter your full name). By entering her/his full name here, the applicant confirms that the information (s)he has given in this application and any supporting documents is correct and complete to the best of their knowledge.
Full Name*
Date*

DayMonthYear
Should be Empty:

Application for COMNAP and IAATO Antarctic Fellowships 2019

(Please answer all questions. Please enter NA if the question is not applicable.)

1. APPLICANT INFORMATION

2. APPLICANT CURRENT RESIDENCE AND CITIZENSHIP INFORMATION

3. APPLICANT ACADEMIC BACKGROUND

Details of Highest Education Earned

4. APPLICANT CURRENT POSITION

Current Research/Work

Professional bodies

5. DETAILS OF PROPOSED HOST AND PROPOSED HOST INSTITUTE

6. REFERENCE FROM HOME INSTITUTE

7. PROPOSAL

8. DECLARATION AND SIGNATURE