LizardIsland Doctoral Fellowship

Ian Potter Doctoral Fellowship at LizardIsland

2012FULL APPLICATION FORM

Applications will only be accepted from people who have been invited to submit following the

preliminary application process.

Applications that exceed maximum word limits will not be considered.

APPLICANT DETAILS

Copy details from your preliminary application

Name of applicant
University / Department
City / State
Country
Mailing address
Office phone / Home phone
Office fax / Email address
Month & year of enrolment in PhD program / Expected year of completion of PhD

SCHOLARSHIP DETAILS

Copy or update details from your preliminary application

Do you have a stipend from a scholarship? / Yes or No*
Value of scholarship per year
Name of scholarship
Start Date
End Date
*Ensure you circle Yes or No. If No, explain here how you will support yourself for the duration of the Fellowship (100 words maximum)

FIELD RESEARCH EXPERIENCE

Copy or update details from your preliminary application (100 words maximum).

SUPERVISOR DETAILS

Primary supervisor
Name
University / Department
City / State
Country
Mailing address
Office phone / Office fax
Email address

Any additional supervisor

Name
University / Department
City / State
Country
Mailing address
Office phone / Office fax
Email address

PROJECT TITLE

Must be same as in preliminary application

PROJECT OBJECTIVES

(150 words maximum)

PROJECT SIGNIFICANCE

Place the project in its scientific context and highlight innovative features (200 words maximum).

RELEVANCE TO AUSTRALIANMUSEUM’S SCIENCE RESEARCH STRATEGY 2007-2012

Copy or update details from your preliminary application (200 words maximum).

RESEARCH PLAN & METHODOLOGY

Include an outline of: 1) the tasks to be done at LizardIsland showing the proposed timing, 2) the methodology you will use to answer the research questions you are posing, and 3) field work for the project that has already been completed at LizardIsland and elsewhere (2,000 words maximum, excluding reference list).

REFERENCES CITED IN RESEARCH PLAN

FINANCIAL DETAILS

Year(s) for which funding is sought (Y/N)

2012 / 2013 / 2014
Proposed usage of LizardIsland Research Station
Estimated number of person days
Year / 2012 / 2013 / 2014
Person* / A / B / C / A / B / C / A / B / C
Trip 1
Trip 2
Trip 3

Total

* Person A is the applicant, B & C are assistants. If more than two assistants are necessary for any trip, include the days for any additional assistants in C.

Budget 2012: LizardIsland component only (Australian dollars)

Use indicative rates provided at

Note: the GST-inclusive value of the fellowship is $8,800 provided an Australian tax invoice can be presented by the fellow’s institution.

2012 / Trip 1 / Trip 2 / Trip 3
Bench fees for applicant
Bench fees for assistant 1
Bench fees for assistant 2

Bench fee subtotal

Subtract 10% of subtotal if visit is 28 consecutive days or more

Bench fee total

/ $
$
$
$
-$
$ / $
$
$
$
-$
$ / $
$
$
$
-$
$
Travel for applicant
Travel for assistant 1
Travel for assistant 2
Travel total / $
$
$
$ / $
$
$
$ / $
$
$
$
Freight estimate

Freight total

/ $
$ / $
$ / $
$
Equipment (itemise)

Equipment total

/ $
$ / $
$ / $
$
Other (itemise)

Other total

/ $
$ / $
$ / $
$

TOTAL per trip

/ $ / $ / $
GRAND TOTAL (sum of all trips in 2012) / $

Budget 2013 & 2014: LizardIsland component (Australian dollars)

Use indicative rates provided at

Year /

Bench fees

/

Travel

/

Freight

/

Other

/

TOTAL

2013 / $ / $ / $ / $ / $
2014 / $ / $ / $ / $ / $

Justification of LizardIsland component of the budget (500 words maximum)

  • Briefly explain why you need the proposed number of trips, duration of trips, and assistants.
  • For travel costs, show mode of transport and city of origin for applicant and assistants.
  • If your freight estimate includes anything other than barge freight from Cairns to LizardIsland, outline the additional costs.
  • Explain your need for each item of listed equipment.

Cost of project EXCLUDING LizardIsland components

Briefly outline other costs of your project from 2012 to 2014, excluding the LizardIsland component. State how these expenses will be met and whether or not the necessary funding is already secure.Address selection criterion 11. (200 words maximum)

Send the completed application to

Applications that exceed maximum word limits will not be considered.

Closing date is 26 September 2011

Full application 2012page 1 of 4