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Version one: March 2012

The Marine Stewardship Council Scholarship Program Information Part 3: Application form
Section 1: About you Students name Students address Students telephone number Students email address (this will be our main way of contacting you) What is the name of your course/research project? What is the duration of your course/research project?

Section 2: About the project supervisor and educational institution Project supervisors name and position Institutions name (to which the student & project supervisor are affiliated) Institutions address Project supervisors telephone number Project supervisors email address Institutions website address

Version one: March 2012

Section 3: About the project Project title Aim of your project (maximum 25 words)

When will your project start? When will your project finish? Where will your research take place?

Project proposal summary (maximum 250 words)

How will your project proposal benefit environmental and fisheries science (maximum 100 words)?

Version one: March 2012

Are there links to any fisheries in or seeking MSC certification? Why do you need funding for this project?

Is there anything else youd like to tell us? (maximum 100 words)

Who will the funding be paid to and managed by?

Please present assurance and evidence that sufficient other funding is available for you to complete your studies.

Breakdown of costs (please estimate your expenditure): Travel Equipment Accommodation Production of final report to MSC Other, please specify Total amount requested: X (to be completed by applicant) over X (to be completed by applicant) months

Version one: March 2012

Section 4: To be completed by the applicants supervisor Supervisor supporting statement - please include information on the students ability to deliver academic work, their academic ability, knowledge, understanding, ability to meet deadlines etc. (maximum 200 words)

Please confirm you have the authority to make this application on behalf of the organisation by ticking this box

[T yp Acceptance of Part2: Terms and conditions e a I hereby confirm that I have read, understood and accept the terms and conditions of the Marine Stewardship Council scholarship program. qu ot Applicant/Student: e fr Date: o m Project Supervisor: th Date: e do cu m en t or th e su m 4 m ar y

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