The CLEAR REEF Social Fund for Marine Research and Conservation

The CLEAR REEF FUND APPLICATION FORM

Date received:Clear Reef use only

Applicant information

Field(01)Applicant Ref. N°click here to insert your text.

Field(02)Full name:click here to insert your text.

Field03)Date of birth:click here to insert your text

Field(04)Nationality:click here to insert your text.

Field(05)Email address: click here to insert your text

Field (06)Status:

Please specify your status among student, jobless, employee, retired, others: click here to insert your text

If student, please specify institution, academic discipline and which exam or qualification you will take: click here to insert your text

If employee, please specify job title & company: click here to insert your text

Funding details

Field(07)Title of your project:click here to insert your text.

Field(08) Where will the project take place?click here to insert your text.

Field(09) Description of your project(maximum 40 lines in Arial 11)

.click here to insert your text

Field(10) Expected results of the project:(maximum 40 lines in Arial 11)

click here to insert your text

Field(11) Time frame:

click here to insert your text

Field(12) Details of two references:

Reference 1:Name:click here to insert your text.

Position:click here to insert your text.

Email address: click here to insert your text.

Reference 2:Name:click here to insert your text.

Position:click here to insert your text

Email address: click here to insert your text.

Financial information

Field(13) Total cost of the projectEnter the amount in USD.

Field(14) Amount requested from the CLEAR REEF FUND (Maximum allowed: 2,500 USD):

Enter the amount in USD.

Field(15) Provide explanations if field 12 differs from field 13:

click here to insert your text.

Field(16) Follow-up / Termination of project:click here to insert your text.

Appendix 1: Candidates are free to add a one-pager (A4, one side,) presenting any additional information they wish to share with the Committee. (Format is free: Text, pictures, support from their tutors etc.).

Appendix 2: Supporting evidence to fields 12 and 13 (to add as a separate document)

The CLEAR REEF Social Fund for Marine Research and Conservation. The CLEAR REEFFund Application Form

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