Dear Greg - IPMEN
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IPMEN 2020 Conference Funding Support Form
Note: At this stage, the IPMEN 2020 conference committee is unable to offer scholarships to attend IPMEN 2020 but we do encourage potential delegates to attempt to source their own scholarship funds. As a result, this form is only for appropriate delegates from low-income Pacific nations (World Bank ranking) and to other small Pacific island nations and territories who are seeking our support in acquiring scholarship funds.
Please complete this form and return it as an email attachment (word doc or pdf) to:
Harry Breidahl at nautilus.ed@
Applicant Details:
|Title (Mr, Mrs, Ms, Dr): |
|First name: |
|Second name (surname): |
|Organization: |
|Web: |
|Email: |
|Street address: |
|City/suburb: |
|State/Province plus postcode/zip: |
|Country: |
Briefly (250 words or less) describe your involvement in marine education and your association with marine education / science networks in your region. Also include any previous links that you may have with IPMEN.
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Briefly (250 words or less) outline the financial circumstances that require you to seek funding support to attend the IPMEN 2020 conference in Honolulu, Hawai’i.
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Briefly (250 words or less) explain what specific information, skills, or contacts you will be seeking at the IPMEN 2020 conference and how they will be used in programs on which you currently work or those you hope to create.
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If you are also planning to attend the NMEA 2020 conference in Hawaii will you be also applying for a NMEA scholarship? Yes No
Other Important Requirements:
1. A referee; please fill in contact details below and attach a letter of support from a suitably qualified referee for this application.
2. We also need contact details of the organization you have approached for funding support. These contact details will be used to send our letter of support.
Referee Contact Details
|Title (Mr, Mrs, Ms, Dr): |
|First name: |
|Second name (surname): |
|Organization: |
|Web: |
|Email: |
|Street address: |
|City/suburb: |
|State plus postcode/zip: |
|Country: |
Funding Organization Contact Details
|Title (Mr, Mrs, Ms, Dr): |
|First name: |
|Second name (surname): |
|Organization: |
|Web: |
|Email: |
|Street address: |
|City/suburb: |
|State plus postcode/zip: |
|Country: |
Details of the funds you are seeking
Simply for our general reference please use the box below to record the details (estimates) of the funds you will be seeking from your proposed sponsor.
|Registration for IPMEN 2020 (we recommend US$300) |US$ |
|Conference accommodation (we recommend US$350) |US$ |
|Travel (economy airfare, round trip to Honolulu) estimated cost |US$ |
|Total funds being requested from your sponsor organization |US$ |
Other Information
1. If you submit a Call For Papers Form please note that you are applying for funding support on that form.
2. Applications for IPMEN 2020 conference funding support close on February 28th 2020.
Your Signature:
Date:
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