EmailMe Form - Application for Support

Name

First/Given Name(s)

Surname/Family Name

Address

Street Address

Address Line 2

City

State/Province/Region

Postal/Zip Code

Country

Email

Phone

Abstract of Presentation

Include information as to the nature of the participation, e.g., symposium (include name of symposium and convener(s)), contributed paper, poster, or workshop.

Current CV

Include publication list and current position.

Ornithology Statement

Brief statement describing how applicant is furthering development of ornithology in his/her country of origin.

Funding Statement

Detail the degree of need for funding (note other funds applied for) and budget information (e.g., estimated airfare).

Ornithological and Other Scientific Society Memberships

List current memberships in ornithological and other scientific societies.

Letter of Recommendation or Support

Attach letter of recommendation or support from a director or colleague.

How did you learn about this opportunity?

(e.g., website)

Optional Information

The organizations providing the funding share the goal of increasing participation of members of diverse communities. Please share information about your race, ethnicity, or both so that we may better track how well we are including members of diverse communities, especially individuals from those groups that are under-represented in STEM (science, technology, engineering, and mathematics). Thank you.

American Indian or Alaska Native

Asian American

Black or African American

Hispanic or Latino

Native Hawaiin or other Pacific Islander

White

Multiracial

Other (please specify)

*Providing race/ethnicity information is optional and based on your self-identification. Completion of these data is voluntary and will not affect your eligibility for support.