The Threatened Species Programme


Application for Funding for Student Projects on 
Threatened Plants

To be completed by the student applicant:

Personal Details
Surname

First name

Date of Birth 

Citizenship

ID/Passport number

Languages spoken


Contact Details
Telephone number 
(h)
(w)
(cell)
Email address

Postal Address 


Code:
Residential address



Institutional Details
Qualification to which project will contribute (e.g. BSc Honours, BTech Diploma)

Previous qualifications/studies


Institution at which you will be registered



Accomplishments
Details of distinctions, awards or prizes for your work

Where would you like to be in 5 years time?
(max. 100 words)


Project Details
Title

Supervisor(s)

Rationale: 
Why is this project important?
(max. 150 words)

Project outline and outputs 
(max. 500 words)

Proposed methodology (max. 300 words)

Time frame



Budget
Budget summary
(please break down into components)

Details of other funding received/applied for

Total amount applied for


To be considered for sponsorship, this form should be emailed to Wendy Foden (foden@nbi.ac.za) by no later than the 8th February 2005.