AGRESEARCH ANIMAL GENOMICS INTERNATIONAL TRAVEL AWARD Application Form

Please email in Microsoft Word or WordPerfect format to:

NZSAP.ANIMAL@xtra.co.nz

The signed Employer Endorsement should be mailed to:

Jane Kay
Executive Secretary
NZ Society of Animal Production
C/- Dexcel
Private Bag 3221, Hamilton.

This format should be used as a guide to preparing each application.

1 Name
2 Postal Address
3 Current occupation and employer and previous occupation and employer if less than 2 years
4 Length of service in New Zealand science research organisations
5 Describe (up to 1 page of A4) the purpose for which a grant would be used (including an assessment of the benefits resulting from your project).
6 Financial
- Amount sought $
- Breakdown of costs
- Details of other financial support
- - (i) Funding approved ($)
- - (ii) Funding applied for ($)
- - (iii) Funding to be applied for ($)

7 Nominate 2 referees to whom the Selection Panel may refer.

8 I agree to provide a report on the activities supported by the Award with a summary suitable for use in the Society’s Newsletter. This report will be forwarded to the Secretary of the Society as prescribed in the letter specifying conditions of Award acceptance.

9 Provide written confirmation that the objectives of this application have been approved or endorsed by your employer.

Signature


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