Mick Agnew Killifish Conservation Fund Application

Applicant Details

Full Name *

Organisation (if applicable)

Website

Email Address *

Phone Number: *

Country of Project Delivery *

Target Species/Genera

Total Request (£) *

GBP

Request Target Date (dd/mm/yyyy)

Application is to support (or extend) an ongoing project (funded by the BKA or otherwise) Further details attached

Documentation

Attach project documents and any relevant justification *

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Documentation includes: *Project summary (maximum 500 words)Detailed budget breakdown and justificationCV and/or organisational profileLetters of support/referencescopies of any required permitsDetails of any related grant applications/projectsI have retained a copy of my application for reference

Declaration

Signature:please type

Date (dd/mm/yyyy)

I am a legal entity or individual researcher with a demonstrable track record in aquatic conservationMy project is directly related to killifish conservationI hold all relevant licences and permits required for this projectI have declared any applications to other organisations for funding for the same or similar projectsI understand that incomplete or late applications will not be considered

Yes, I agree with the terms and conditions.

Submit

Please do not fill in this field.

By submitting this form I hereby declare that the information provided in my application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in the withdrawal of funding. I agree to acknowledge the Mick Agnew Killifish Conservation Fund in all project outputs and to submit required reports as outlined in the Terms and Conditions.

For any questions please contact conservation@killis.org.uk