2019Wh Gladstones Population and Environment Fund

Australian Academy of Science

Scientific Research Support

2019WH GLADSTONES POPULATION AND ENVIRONMENT FUND

APPLICATION FORM

The W H Gladstones Population and Environment Fund offers support for empirical research into how the size, distribution, material aspirations and other characteristics of Australia’s population are likely to affect our environment—not only our land and landscape, but also social cohesion, health, the economy and defence. Population pressures in other countries which may have an impact on Australia could also be part of the research.

1.Full name, professional position and address of candidate:

Telephone:

E-mail:

Nationality/ies:

Date of birth:

Gender:

Male Prefer not to state 

Female Other:……………………

Australian Residency status:

Year awarded PhD (or equivalent):

2.State the objectives and methods of research to be undertaken

3.Candidate’s brief curriculum vitaeand a list of publications relevant to the research

4. Proposed budgetoutlining the proposed use of the Grant over the two years.

5.Referee reports (please attach two referee reports. These must be no more than two pages in length and indicate the referees’ knowledge of the research and the researcher’s ability to carry out the project successfully.)

6. Signature of applicant

Date:

NB: Other nominators may endorse this nomination by email to if unavailable to sign this form.

7.Lodging the nomination

Australian Academy of Science Awards

E-mail:

Mail: GPO Box 783, CANBERRA ACT 2601

An electronic copy sent by e-mail is preferred. Receipt of the nomination will be acknowledged.

The Award recipient will be announced in early November.

For more information about the nomination process, contact the Awards Officer or call + 61 (0)2 6201 9407.

8.Please help us by stating where you heard of this award round.

Closing date for nominations: 1 June 2018

______

Privacy statement

The Australian Academy of Science (the Academy) is an ‘agency’ for the purposes of the Privacy Act 1988 (Cth) and as such complies with the obligations of the Privacy Act within that meaning. The Academy strives to achieve diversity and equity of participants in the activities that it undertakes, and as such, it monitors the effectiveness of its activities by collecting gender, age and nationality information related to participants of the Award programs.

The Academy acknowledges the complex nature of gender identity and diversity in the broadest meaning.

Page 1 of 3