ACRS Future Leaders of Amphibian Conservation

ACRS Future Leaders of Amphibian Conservation Application Form for ACRS 2016, South Africa

Please complete this form and email to [email protected] by 16th October 2015 together with the supporting documents detailed at the end. If possible, please combine all documents into a single PDF when submitting your application.

Full name (first and last): Affiliation(s): Position/job title: Email address: Telephone number (including country code): Country of residence: Nationality: Date of birth:

Education: Please list institution name(s), degree(s) received and date(s) attended.

Please provide us with any other information you may feel is relevant: (e.g. other training or experience, career breaks, visa requirements to travel to South Africa – please see http://www.southafrica.info/travel/documents/visas.htm#.VYpWMUZPhrM).

Personal statement: (What conservation initiatives have you previously contributed to or conducted; what do you hope you will achieve in the future; why do you want to attend the next ACRS; what do you feel you can gain from and contribute to the Future Leaders programme; any other information you feel is relevant. Personal statement should be ~500 words).

Project proposal or research programme: The research project should focus on applied amphibian conservation work. Projects that show strong evidence of likely success and previous funding will be preferred.

1. Project title 2. Partner organizations and contact information 3. Locality and country of project? 4. Target species (where applicable) - Please list the amphibian species this project is most likely to help and include their IUCN classifications 5. What are the threats to your species and how will your project address them? 6. Project description - Tell us why this project is important, provide evidence of how it will be successful, and how it will impact on amphibian conservation (~500 words). 7. Are you aware of any other programs, research or action plans relating to this project and if so how will your work compliment these efforts? 8. Total Budget - Please identify the total amount of funds estimated to complete this project. 9. Timeline: please outline the key actions for your project, their desired outputs and the time they are estimated to achieve. 10. Current Funding - Please include information on any funds you may already have obtained for this project, and other grants you intend to apply for.

Talk abstract: All Future Leaders are required to give an oral presentation on their research at ACRS. Please provide a ~300 word abstract for your talk.

Please include the following (where applicable) and email with your application form to [email protected] by 16th October 2015:  CV of Future Leader applicant  Two references  Letters of support from institutions or partners involved in the project  Any other relevant information you wish to provide