Cryptobranchid Interest Group
Ron Goellner Conservation Fund Application for Financial Support
PROJECT TITLE:
Principal Investigator (PI) Name and Title:
Institutional Address:
Phone, FAX, E-mail:
Total Project Budget:
Total Requested from Cryptobranchid Interest Group (CIG):
Projected Duration of Project:
Is the project underway? (y/n)
Starting Date:
BACKGROUND (250 words or less)
Please give a brief description of the project, stating why it is a conservation priority.
PROJECT SUMMARY (250 words or less)
Explain the goal(s) and rationale behind the proposed project, what will be the specific outcomes of the project, and how will success be measured?
PROJECT DESCRIPTON (not to exceed 2 pages in length)
Please provide a more in depth account of the project methodologies, the proposed timeline, conservation significance of the specific outcomes, measures of success, and partnerships involved (specify roles of all partners).
OTHER INFORMATION
- How and when will the results of this project be disseminated?
- If this is a multi-year project, what is the funding strategy for subsequent years?
- Have all the necessary permits been obtained for the project? (y/n) If yes, attach copies of permits to this proposal. If no, please explain:
PROJECT BUDGET
Detailed Total Project Budget:
Items and Total Funding Requested from Cryptobranchid Interest Group (CIG):
Other Funding Sources (identify projected as well as actual funders):
ATTACHMENTS
1.Curriculum vitae(s) of Principal Investigator(s)
2.Copies of appropriate permits
3.Letter of support (if applicable)
APPLICATION DEADLINE: April 15th 2009
Application Procedure:
Send electronic copy to Diane Barber:
We ask that proposals be submitted by April 15 (by email, with attachments being sent separately by mail-if needed). Please plan your project accordingly. Should the Cryptobranchid Interest Group’s Steering Committee recommend your project for funding, and it is approved in the budget process, we would plan to disperse funds as specified in the award letter. Recipients will be notified by May 15th of the same calendar year.
Awards up to $1,000 are given per grant cycle.
Anyone may apply for this award. If funding is provided, the awardee(s) is required to recognize the CIG Ron Goellner Conservation Fund in all publications and presentations. Copies of reports and publications are to be provided to CIG and reports of progress are to be submitted on an annual basis. CIG also requests that 3-5 images be provided to CIG to post on its website or in CIG publications to promote its support of this project.
Please sign below if you agree to these conditions:
Signature of Applicant ______