The American Memorial Chapel Travel Grant (AMCTG) 2019

Application Form

The deadline for applications is 30 September 2018. Interviews for shortlisted applicants will take place during November 2018; interviews to be held at The Queen’s Foundation in Birmingham. The successful applicant will be expected to use the grant to fund travel to the United States within 12 months of the award being made.

The AMCTG award is being administered by The Queen’s Foundation on behalf of the English-Speaking Union who have managed the funds entrusted to it for this purpose by the American Memorial Chapel Trust Fund since 1961.

Completed application forms should be submitted as an attached file by email to:or sent to The American Memorial Chapel Travel Grant, The Queen’s Foundation for Ecumenical Theological Education, Somerset Road, Edgbaston, Birmingham, B15 2QH.

If you have any queries regarding the submission of your application, or if you do not receive an acknowledgment of receipt of your application within 10 days, please contact The Queen’s Foundation on 0121 452 2620 or by email:

On page 5 of the application please state your reasons for wishing to visit the USA and the aspects of American life which particularly interest you.This should not exceed 500 words and if possible please include an outline budget for your proposed itinerary.

Page 6 of the application asks for a reference. Please arrange for this to be completed by your chosen referee. This may be submitted as part of your application or alternatively please pass this section on to your referee and ask them to submit their reference to us directly using the contact details given.

Personal Details
Title………… First Name……………..……………………………………
Surname…………………………………………………………………………
Address…………………………………………………………………………
………………………………………..…………………………………………….
………………………………..…Postcode……………………………………. / Date of Birth……………………………......
Nationality…………………………………………..
Telephone……………………………………......
Email…………………………………………………….
Details of your present appointment:
Details of previous appointments:
Details (if applicable) of previous visit(s) to the USA e.g. length and purpose of visit
Would you be willing to preach in a church of any denomination?
Yes
No
If awarded this grant when (before 30 November 2018) would you be able to take it up?
Please list places in the USA that you would particularly like to visit:
Please list any particular persons or institutions with whom you would like to make contact:
What are your main professional interests?
What are your personal interests/hobbies?
Please provide full details below of the referee who has completed the Confidential Reference sheet which forms a
part of your application. Your referee should be a member of the clergy.
Referee Details
Title………… First Name……………..…………………………………… Surname…………………………………………………………………………
Address……………………………………………………….………………………………………..…………………………………………………………………
………………………………..………………………………………………… Postcode……………………………………………………………………….
Telephone……………………………………...... …………. Email……………………………………………………………………………
Declaration
I declare that the information given above is correct:
Signature………………………………………………………………………………………………………………………………………………..
Date………………………………………………………………………………..

The American Memorial Chapel Travel Grant (AMCTG) 2019

Name of Applicant:………………………………………………………………………………………………………….

Your reasons for wishing to visit the USA and the aspects of American life which particularly interest you. This should not exceed 500 words. If possible please include an outline budget.

The American Memorial Chapel Travel Grant (AMCTG) 2019

Confidential Reference and Character Report

To be completed by the applicant’s referee and returned by 30 September 2018 either as an attached file emailed to: or hard copy to:

American Memorial Chapel Travel Grant, The Queen’s Foundation, Somerset Road, Edgbaston, Birmingham, B15 2QH

This report may be submitted on a separate sheet.

Name of Applicant:………………………………………………………………………………………………………….

Name of Referee:…………………………………………………………………………………………………………….

Referee’s position:…………………………………………………………………………………………………………..

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