The Deadline for Scholarship Submission Is 15August 2016

EAZA Academy–Clax Italia Scholarship Application Form

Clax Italia scholarships are open to employees of EAZA Members and Candidates for Membership. These scholarships are made possible due to a generous donation from EAZA Corporate Member Clax Italia. The aims of these scholarships are; to promote professional training, support motivated, committed zoo staff to further their skills development, and aid progress of the wider EAZA community.These scholarships are particularly intended to support staff from institutions that would benefit most from this type of financial support.

These scholarships apply to full cost EAZA Academy courses and will cover the course fee and cost of return airfare, or standard class train or bus travel, or car mileage at €0.19 per kmto the course location (travel arrangements and costs to be agreed before payment is made).One scholarship is available per course offered in 2016.

The deadline for scholarship submission is 15August 2016.

Submissions are reviewed by members of the EAZA Executive Committee and the EAZA Executive Office, with successful participants usually being notified a minimum of 4 weeks before the start of their course.

Course Title: / Start Date:

If you are unsuccessful in your scholarship submission but wish to attend the course anyway, sending in a scholarship submission form does not guarantee you a place.To guarantee your place you must submit a completed application form and pay the course fee in full. If you then receive a Clax Italia Scholarship the course fee will be refunded to you.

Personal Information and Contact Details

Title:
First Name(s): / Last name:
Nationality: / E-Mail:
Job Title: / Telephone Number:
(include international code)
Institution/Employer:
Address:
City: / Post code:
Country: / E-Mail:

Contact Details of References

Using the ‘Recommendation’ form available on the EAZA Academy pages of the EAZA website ( two letters of recommendation should be emailed to must be from your current manager and the other from someone else who knows you well and is linked to the work of zoos and aquariums.These letters form part of your scholarship submission and it is your responsibility to make sure they arrive before the deadline.As part of your submission they will be reviewed by members of the EAZA Advisory Board and the EAZA Executive Officewho will keep them confidential.Please provide the contact detail of your two referees below.

Reference 1

First Name(s): / Last name:
Job Title: / E-Mail:
Institution or Organisation: / Telephone Number:
(include international code)

Reference 2

First Name(s): / Last name:
Job Title: / E-Mail:
Institution or Organisation: / Telephone Number:
(include international code)

Reasons to offer you a Scholarship

In no more than 500 words describe; your reasons for attending the course, how attending the course will benefit you and your institution, examples of your commitment to professional development and training, and anything else you feel may support your submission.

I am confident I hold sufficient English language skills to participate fully in the course :
I hereby verify that all the above information is truthful and accurate:
Date submission completed:

Please send completed Clax Italia Scholarship Submission Forms to: Laura Myers () putting ‘Clax italia Scholarship Submission’in the subject line.

Office Use

Date received: / Date responded to: / Successful: