Last Name ________________________________ PLEASE PRINT AMERICAN MUSEUM OF NATURAL HISTORY OFFICE OF GRANTS AND FELLOWSHIPS Central Park West at 79th Street New York, New York 10024-5192 RESEARCH GRANTS APPLICATION for (please check one): q THEODORE ROOSEVELT MEMORIAL FUND Application deadline: February 15, Announcement: April 30 q LERNER-GRAY FUND FOR MARINE RESEARCH Application deadline: March 15, Announcement: May 15 INSTRUCTIONS A completed signed form and all supporting material (except letters of recommendation) should be submitted IN DUPLICATE to the attention of the appropriate Fund, American Museum of Natural History, Central Park West at 79th Street, New York, New York, 10024-5192. BRIEF DESCRIPTION OF FUNDS The Lerner-Gray Fund for Marine Research is intended for projects in marine zoology with emphasis on systematics, evolution, ecology, and field-oriented behavior; it does not support marine botany. The Theodore Roosevelt Memorial Fund is directed toward research on North American fauna, except birds. These funds support research in either neontology or paleontology. Awards are for one year and average $1,750; most grants range between $200-$2,500. Applicants are usually allowed a maximum of two awards. APPLICATION GUIDELINES · The budget on 1 separate page must show clearly the amounts and purposes for which the award will be used. If travel by automobile is required, an allowance of up to 40.5 cents per mile may be used in calculating costs. The following items are most commonly supported: Consumable supplies or expendable equipment, living expenses in the field or at a research station, and travel expenses. The following items are not supported: Permanent equipment, salary for principal investigator, overhead, conference or meeting costs, expenses and travel for field assistant. · Describe in 2 pages, the proposed investigation in sufficient detail to be evaluated by scientists in your discipline. · Two letters of recommendation in signed, sealed envelopes must accompany application. · If applicant has previously received an award from any of the above funds, a progress report must be submitted by the current application deadline. · The application should be 12 pt Times New Roman font and cannot exceed 5 pages. It should includes 2 pages for · Applications lacking any information requested will not be reviewed. It is the applicant’s responsibility to ensure that the application form and all supporting documents be postmarked on or before the appropriate deadline date. Signature ________________________________________________ Date ______________________________________ Please TYPE all information Please circle your field of research from the following list. This list is used mainly to sort applications prior to review by the appropriate department. Entomology Herpetology Ichthyology Living Invertebrates Mammalogy Paleozoology Name Present position Institution address Telephone number SS# (if you have one) Mailing address E-Mail address Candidate for degree (student applicants only) Master’s Ph.D. Research advisor Letters of recommendation must be submitted by two persons, who are: and Letters in signed, sealed envelopes must be included with the application. Additional support in the amount of $ ______________ for this project (or part of it) has been received granted requested from If applicant has previously received an award from any of the Funds named on this form, indicate year(s) ____________ title of project Fund name and amount awarded $ A report (or publication) from previous award is attached or was submitted to appropriate Fund (date) . PROJECT DESCRIPTION Please describe your project using no more than 2 pages single spaced using 12 pt Times New Roman font. Include the following information: 1) name of investigator 2) project title 3) project location and duration 4) project description Put literature cited on a separate page. Describe the proposed budget on a separate page (Please be explicit about the role of AMNH funding in the project.) FOR OFFICIAL USE ONLY Review form: To be completed by reviewers Recommendation (indicate one and comment): 5 is the highest recommendation 5 4 3 2 1 Name of Reviewer Date Amount Recommended by Reviewer $ .