The Mohamed bin Zayed Species Conservation Fund Application Form (print version)

This print version is for your reference only. All applications must be submitted online at:
https://application.speciesconservation.org/

Section 1 - Grant Background
 
1.1 - Size of grant application: *  Up to $5000      $5000 - $25000


Project Title (brief sentence which explains the purpose of the project for which a grant is being sought): *
20 word limit

 
To help our administrators process your application, please provide in the box below any information relating to a previous relationship or contact you may have had with the Fund. You may already have an active project with us and are seeking continuation funding, or you previously had a grant which is now completed, or you may have previously been rejected for a grant. If this is the case then please state ANY previous project numbers. If this is your first contact with the Fund, we would also be very interested to know how you heard of us.

Please enter any previous relationship in the box below to help us process your application:
50 word limit

 


Section 2 - Your Details
 
2.1 - Title (e.g. Mr / Mrs / Prof / Dr): *
2.2 - First Name: *
2.3 - Last Name: *
 
2.4 - Organization:
2.5 - Website Address:
2.6 - Network:
(if applicable - e.g. IUCN / SSC
Specialist Group or NGO)
 
Address
2.7 - Street & Number: *
2.8 - City / Town: *
2.9 - State: *
2.10 - Country: *
2.11 - Postal / ZIP Code: *
 
2.12 - Landline Phone Number: *
2.13 - Mobile Number:
2.14 - Fax Number:
2.15 - Email Address: *
2.16 - Re-enter Email Address: *
2.17 - Secondary Email:


Section 3 - Agreement
 
3.1 - I agree that to the best of my knowledge, the information provided is true and correct. *      


Section 4 - Overview of Your Organization / Community / Individual Project
 
 
4.1 - For organizations, please provide the following information: *
  • Mission of the organization
  • Objectives of the organization
  • Date it was established
  • Geographical area of the project
  • Target species / habitats covered by the organization

500 word limit
 
4.2 - Please list key personnel / titles / qualifications / email address: *
 
 
 
4.3 - Are there any key institutions the project is affiliated with, such as NGO and community partners, government agencies or corporate involvement?
Yes     No

If yes, describe below. *


 

4.4 - Are any indigenous community groups involved in this project?
Yes     No

If yes, please specify: *


Section 5 - Project description
 
Please note that any information provided on this application may be made available to the media if the application is successful.

5.1 - Please provide: *
  • Scientific name(s) of the species
  • Vernacular name(s) of the species
  • Specify species type as one of the following: mammal, bird, reptile, amphibian, fish, invertebrate, plant or fungi

  Scientific Name Vernacular Name Species Type
 
5.2 - Whilst your project may cover a vast area, please specify first the continent and then the country where your work is focused most: *

Continent:
Country:
 
5.3 - Please elaborate on this location and mention any additional countries or geographic areas (including oceans) where you aim to support the target species: *
200 word limit

 
5.4 - Please outline the conservation status of the target species and the importance of the associated habitat: *
200 word limit

 
5.5 - What is the conservation status of the primary target species, using the IUCN guidelines: *

 
5.6 - Please outline in 20 words or less how this project will contribute to the conservation of your target species: *
20 word limit

 
5.7 - Please list the overall objectives of the project: *
200 word limit

 
 
5.8 Please outline briefly how this project relates to other work done previously with this species in this area (e.g. Species Action Plan, previous survey or monitoring work). Please also include any scientific references: *
400 word limit

 
 
5.10 Approximately when will the activities that the grant would support take place?
 
Intended Start Date: (dd/mm/yyyy)
 Intended End Date: (dd/mm/yyyy)
 
5.11 - What is the next step after the completion of this project for the conservation of the species? *
100 word limit

 
5.12 - Why is this project important to your personal development as a conservation biologist and the work / objectives of your organization? *
100 word limit



Section 6 - Media Support
 
Please note that any information provided on this application may be made available to the media if the application is successful.

6.1 Please also attach the following support material, to be used by the Fund for publicity:

A short biography / curriculum vitae of the project applicant and a list of his / her relevant scientific and popular publications *

You have not uploaded a file.

*** UPLOADING A BIOGRAPHY FILE IS MANDATORY ***
 
A recent Annual Report or other description of your organization (e.g. strategic plan), if applicable *

You have not uploaded a file.
 
Previous media coverage of your work to date, especially relating to the target species for this project. Successful applications will be able to provide more later

You have not uploaded a file.
 
6.2 Please use Google Maps to illustrate the project area: *
Whilst we understand your project may cover vast areas, we need to illustrate your work by placing it on a map. So please base this location on what you might consider to be the main focus area (even if it is in the middle of an ocean). Simply click on the map below so that it updates the form fields below the map labelled as 'Latitude' and 'Longitude'. You can drag the map, or use the scroll and zoom tools on the left of the map to navigate to your location.

*** GOOGLE MAP TOOL APPEARS HERE IN ONLINE APPLICATION ***

Latitude: Longitude:
 
6.3 Please provide one JPEG image of the project's target species. (Wild shots preferred). Successful applicants will be able to provide more later: *


Section 7 - References

Please provide one to three references below:

Please note these references SHOULD NOT BE from your own organisation, and the email addresses MUST BE an official email address (for example using a domain that is registered by the organization).
 
  Reference 1 *   
  Name: *
  Organization: *
  Phone (work): *
  Mobile: *
  Email: *



Section 8 - Permits
 
8.1 Will this project require authorization, permits or licences, to complete the activity? *

Yes     No

If yes, describe below. *

Please note that the grantee is entirely responsible for obtaining all necessary authorization documents and adhering to the spirit and letter of all relevant international and national legal mechanisms (e.g. CITES and CBD).

  Authorization, Permits Or Licence Name Description Applied for?



Section 9 - Budget
 
9.1 Please provide a cost estimate for the specific activities that the grant would support: *
 
 

Budget Total US:  $
 
9.2 - Please detail how you would spend the money you are requesting from the Species Fund: *
200 word limit

 
9.3 - Please specify if there is anything else you wish to highlight regarding this budget (e.g. This funding would be combined with funding from other organizations): *
200 word limit



Fields marked with an asterisk denote mandatory fields *