AWF TRAINING AND SCHOLARSHIP OPPORTUNITIES

CHARLOTTE CONSERVATION FELLOWSHIP PROGRAM

application form (2009/2010)

please print or type

I. PERSONAL DETAILS

i. Family name: ______

ii. Other names: ______

iii. Date of birth: ______iv. Nationality: ______

v. Gender: ______

vi. Mailing address: (Please include the physical address):

______

______

______

vii. Telephone: ______viii. Fax: ______

ix. Email: ______

II. PROPOSED COURSE OF STUDY

i. University:______

ii. Degree: ______

iii. Academic field of study: ______

iv. Country that is the focus of the proposed subject area/research plan:

______

v. Duration of course (indicate dates): ______

vi. University address: ______

______

______

______

vii. Contact person: ______

Telephone: ______Fax: ______

Email: ______

viii. Have you been accepted for the above course?

 Yes No (If Yes, please enclose documentary evidence)

III. OBJECTIVES OF PROPOSED STUDY PROGRAM:

i. Summarize the objectives of your proposed study program:

ii. In order to provide more information regarding the proposed study program, Ph.D. applicants must submit a copy of their research proposal for field research and applicants for Masters degree program should submit brief statements of field research interest (max 5 pages).

iii. Describe how the knowledge and information acquired through your proposed study program will respond to conservation needs in your country.

iv. Briefly describe your career goals and how the proposed study program will help you attain them.

IV. EMPLOYMENT AND EXPERIENCE

i. Give details of your present employment (if any) and of any previous employment relevant to the proposed study:

Date
From / Date
To / Name and address of employer / Position held and brief description of responsibilities

ii. Briefly describe any outstanding conservation achievements in your working experience:

iii. Employment status whilst studying (Tick appropriate one):

 No employment Paid study leave Unpaid leave

V. ACADEMIC OR PROFESSIONAL QUALIFICATIONS

(Include post-secondary education only)

Name and type of award / Date of award / University or Institution / Dates attended / Main subjects studied

VI. SCHOLARSHIP BUDGET

i. Cost of course (US$): ______

ii. Amount of scholarship funds being applied for: (US$)______

iii. Indicative Budget Details:

Please indicate the breakdown of costs for the scholarship award:

Item / AWF Cost (US$)

iv. Are you receiving, or will you be seeking, funding for this course from another source (tick appropriate one)? Please note that you must show proof of matching funds if you are applying for PhD program and Masters if fees exceed the value of this Scholarship.

 Yes No

If your answer above is yes, please give details as follows:

Name of source / Amount of award / Duration / Has application been successful?

VII. REFERENCES

i. Please provide the names of three professional references. In each case, give the address, telephone/fax numbers, e-mail address and state the professional relationship.

ii. (Please note: Each referee should fill in a reference form - available with the application form - which should be submitted together with the application form).

VIII. SIGNATURE

I certify that the information given above is correct and complete

Signature: ______Date: ______
GUIDELINES FOR APPLICANTS

  1. Please read the eligibility criteria to determine if your application will be valid. All Charlotte Fellow applicants must:
  • Be nationals of Benin, Botswana, Burkina Faso, the Democratic Republic of the Congo, Mozambique, Namibia, Niger, South Africa, Zambia, or Zimbabwe.
  • Be 21-40 years of age
  • Have secured a place at an appropriate university and be ready to commence studies within one year of the award of the fellowship. Students applying to study in African Universities will have an added advantage.
  • Qualified women candidates working in conservation in eligible countries are particularly encouraged to apply.
  • Have exemplary work experience of not less than 5 years that indicates a commitment and outstanding motivation to conservation in Africa.
  • Have a field research plan, which has a direct link or is relevant to host country Conservation needs.
  • Demonstrate that they will remain working in conservation in home country in order to use their skills to make a contribution to conservation. Applicants are required to submit a letter of support or recommendation from their employer showing that they are working in and will continue to work in conservation in home country. If they are in the diaspora, applicants should get a letter of recommendation from the relevant government department in their home country to demonstrate their willingness to return to make a contribution to conservation in the country.
  • Individuals who have received a Charlotte Fellowship in the past and wish to reapply for another degree or extra funding are not eligible to apply.
  1. Make sure that all relevant sections are accurately and clearly filled out. Incomplete application forms will be disqualified.
  1. Application forms that are received after the deadline will not be accepted.
  1. Canvassing is not allowed. Any applicant who canvasses will be disqualified.
  1. Any applications that are not accompanied with all supporting documents will be disqualified.
  1. Any applications that AWF verifies that they contain incorrect information will be disqualified and if a fellowship has been awarded, it will be cancelled.
  1. Applicants should submit proof of acceptance to the proposed academic program (or proof of application and description of the academic program if acceptance has not been received; however proof of acceptance will be required before any funds are disbursed).
  1. Ph.D. or Mphil applicants must submit a copy of their research proposal for field research.
  1. Applicants for Masters Degree programs should submit brief statements of research interest of not more than 5 pages.
  1. Applicants are required to submit academic certificates, testimonials/recommendations from three referees with their application in addition to other supporting material e.g. a detailed and recent curriculum vitae, etc. Please note that references are considered as an important element in the assessment of applications. References should be sent together with the applications and should not be sent separately or at a later date.
  1. Each applicant must include a recent passport size photograph in their application. They could also send clear digital photos showing them at work in conservation.
  1. Funds requested must be expressed in US$.
  1. Application and reference forms as well as other accompanying documents must be submitted by 31 July 2009.
  1. In order to ensure that applications arrive on time, applicants are advised to use e-mail or express mailing systems such as DHL, EMS, etc.
  1. AWF reserves the right to publish the names and profiles of successful candidates in its materials and publications. By applying for this award, the applicant gives consent for such publication if their application is successful.
  1. The decisions of the AWF selection committee shall be final and may not be contested.
  1. Applications should be sent to:

AWF Charlotte Fellowship Program

African Wildlife Foundation

P.O. Box 48177 00100

Nairobi Kenya

Email:

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