Tropical Agriculture Award Fund:

Application Form for International Study Awards

(eight week awards for MSc students)

PersonalInformation

Surname / M/F
First Name / Middle name
Permanent Address / Address for correspondence
Telephone
Current Email / Permanent Email (if different)
Date of Birth / Nationality
Passport No

Health

Do you have any medical condition that could affect your ability to work in a remote area?

If so please attach a letter from your GP confirming that you are fit to undertake your proposed assignment

Education

Most recent first (include current course) and only back to A levels

From
(month/
year) / To
(month/
year) / Name and location of institution / Qualifications gained (include grade and class) / Title and content of course / Full/part-time

Languages Please rate whether 1: fluent, 2:working knowledge or 3: basic

Language / 1 / 2 / 3

Employment History

From
(month/ year) / To
(month/
Year) / Organisation
(Name, address and type) / Description of post held / Responsibilities / Reasons for leaving

Please account for any periods not covered elsewhere.

Interests

Please give details of spare time activities that are relevant to your application such as voluntary work. Also demonstrate your interest in development issues and/or your research interests. Give positions of responsibility held.

Activity / Position

FutureCareer

What field of work do you hope to follow in planning your future career? Please indicate any ways in which you hope TAA may be able to assist you

Project to be undertaken for MSc dissertation

Please expand the boxes as necessary in order to give the information needed, however, the project description and justification should not exceed two sides of A4

Name of project / Country / Host Institution / Period you plan to be there
Start date
(dd/mm/yy) / End date
(dd/mm/yy)

Detailed description of the project (aims and objectives; study area; methodology; expected results)

Please explain how this field assignment benefits and links into your MSc course

Description of the host/employing organization (and website if available): please confirm their willingness to host you and indicate the support that they will offer (COPIES OF RELEVANT CORRESPONDENCE MUST BE ATTACHED

Wider relevance and impact of the project (with particular reference to the objectives of the TAAF)

Please provide a detailed budget breakdown and total expenses. Examples of eligible costs are given in the table. Please insert additional rows as required.

Item / Cost
Return Airfare
Visa costs
Medical costs (e.g. vaccinations/malaria prophylaxis)
Subsistence costs
In-country travel expenses
Research equipment
Translator/field assistant costs
Other (please specify)
Total

Have you applied for or received any other award or grant towards funding of your participation in the project? If yes, what is the total of other awards (do not include personal savings or loans)?

Please give a breakdown of other funding sources, and specify if the contribution covers a particular budget item (e.g. airfare, or research equipment). Use the table below as a guide.

Other funding sources / Indicate how much has been secured and what it covers or whether the application is still pending
University/College grant (please specify)
Other charitable body (please specify)
Private sector grant (please specify)
Personal savings
Loan
Other (please specify)

References Applicants should request their Course Supervisor and Head of Department to send emailed references to and before the closing date for receipt of applications. For further guidance please refer to the Call for Applications for International Study Awards.

Supervisor details (name, address, telephone, e-mail, position)

Supervisor comments

Head of Department (name, address, telephone, e-mail)

Head of Department endorsement

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