5 East St Helen Street

5 East St Helen Street

Abingdon

Oxfordshire

OX14 5EG

APPLICATION FORM

This application form is for a grant of £450 from the Horizon Lectures Adventure Fund. The fund exists to encourage and enable people to undertake their own adventurous trips, ideas and expeditions. We welcome a broad range of ideas but we regretthat we are unable to accept applications from individuals who are taking part in organised trips or commercial expeditions.

If your application is successful, you agree to:

-  Deliver a 25-minute talk following your trip to the Horizon Lectures audience in Oxfordshire.

-  Where applicable, acknowledge the Horizon Lectures Adventure Fund on the expedition website and in any expedition reports.

Please note that, to maximise the value available for the grant, we are unable to pay additional expenses for travelling to speak at our events in Oxfordshire. We recommend you take this into account, especially if travelling from outside the area, before making an application.

To apply for this grant please complete the application form below and email it, along with any supporting documents, to .

There is no fixed closing date and we review applications on a rolling basis. We typically aim to inform you if have been successful within 3 months of application but this can be quicker if your timescales require. We may contact you to provide additional information or to arrange an informal phone interview.

Full information on the Horizon Lectures Adventure Fund, including terms and conditions and guidance on making a successful application, is available at www.horizonlectures.co.uk/adventurefund.

Good luck!

YOUR DETAILS
Name
Email Address
Phone Number
Address
SUMMARY
In a few sentences, what would you like to do with the grant?
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ABOUT YOU
Please tell us about yourself - what motivates you and what relevant experience do you have?
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Do you have any lecturing and/or photographic experience?
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How did you first hear about the Horizon Lectures Adventure Fund?
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YOUR TEAM
Are you travelling alone, or with others? What experience do your fellow team members have?
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ABOUT YOUR TRIP
Departure Date
Estimated Duration
Please tell us more about your trip. Where do you plan to go? What do you hope to achieve?
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What challenges do you think you’ll face and how do you plan to overcome them?
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If your main objective can’t be achieved, do you have any alternative plans?
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PLANNING AND RESEARCH
What stage is your planning and preparation at? What background research have you completed? Have you made any contacts?
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What contingency plans do you have to enable you to cope in the event of an accident or illness during the trip?
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PERMISSIONS AND PERMITS
Do you require any special permissions or permits for your objective? If so, please provide details and when you expect permission to be granted.
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BUDGET
What is your total budget?
Total
Approximately, how does this break down?
Travel
Daily Subsistence
Equipment
Insurance
Other
FUNDING
How is your expedition being funded? Have you applied for any other grants?
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OTHER INFORMATION
Is there anything else you’d like to tell us about your application?
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REFERENCES
Please provide the details of referee who we can contact to comment on you and your application.
Name
Email Address
Phone Number
Address
Role/Relation

By submitting this form you agree that all information provided is, to the best of your knowledge, true and accurate.

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