ASFWB RESEARCH GRANT APPLICATION FORM

(I) TITLE OF RESEARCH PROJECT:_________________________________________________________
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(II) WHERE THE RESEARCH WILL BE CONDUCTED: ___________________________________________
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(III) WHEN WILL THE RESEARCH BE CONDUCTED: ___________________________________________
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(IV) WHO WILL CONDUCT THE RESEARCH PROJECT: __________________________________________

(V) aMOUNT OF GRANT BEING REQUESTED (MAX:$500): _______________________________________

(VI) GOAL(S) / OBJECTIVE(S) OF THE PROJECT. PLEASE ATTACH A DETAILED PROJECT PROPOSAL:
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(VII) HOW MAY THE RESULTS OF THE PROJECT BE APPLIED TO FISHERIES OR WILDIFE MANAGEMENT IN ATLANTIC CANADA?________________________________________________________________
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(VIII) ESTIMATED TOTAL PROJECT COSTS:___________________________________________________

(IX) OTHER FUNDING AGENCIES OR SPONSERS (IF ANY). INCLUDE $$ COMMITMENTS:______________
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SIGNATURE OF APPLICANT: ___________________________________________ DATE: ____________

Please include your name, address, affiliation, telephone number(s), fax number(s), and e-mail, sign and date your application, and email the application and supporting documents to Kirby Tulk at kirby.tulk@pc.gc.ca