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							           Professional Development Grants
                                     for
 Women Conservationists in the Congo Basin


               Application Form and Guidelines
                          2010 - 2011




Sponsored by the Liz Claiborne Art Ortenberg Foundation in support of capacity
       building for women working in conservation in the Congo Basin
Professional Development Grants for Women Conser vationists in the
Congo Basin

                                                  Guidelines
Effective policy, fieldwork, and other conservation initiatives depend on appropriate technical knowledge and the
skills of people on the ground. EFN supports capacity building for conservation practitioners in Africa, Asia, and
Latin America through grants for graduate study and short-term professional development courses in a wide
variety of disciplines so that they may gain the knowledge and skills necessary to manage natural resources in
diverse and complex contexts. EFN supports both interdisciplinary and specialized studies and allows grantees to
pursue opportunities wherever most appropriate, whether in one’s home country or overseas. With the generous
support of the Liz Claiborne and Art Ortenberg Foundation, EFN is providing professional development grants
to support women conservationists in the Congo Basin to undertake short-term training to enhance their skills
and knowledge necessary for effective conservation work as well as for career advancement. Applicants must
have leadership potential in their fields, and a commitment to advance conservation in their home countries and
region.

Benefits
Costs covered include registration fees and tuition, meals and accommodations, books and materials, international
travel, and local transportation. Training may take place anywhere in the world. The grant covers training costs up
to a maximum of US$5,000.

Eligibility
Applicants must meet the following criteria to be eligible for an EFN professional development grant.

       Must be a woman currently employed in conservation at a government agency, protected area, NGO, or
        educational institution.
       Must have at least 6 months work experience in conservation.
       Must be a citizen or permanent resident of Cameroon, Central African Republic, Democratic Republic of
        Congo, Gabon, or Republic of Congo. Ex-patriots from outside the region will not be eligible regardless
        of legal status.
       Must have identified and applied to attend a training course relevant to her work. Conference attendance
        will not be supported under this initiative.
       The training program must be for a period of less than 12 months.
       Must have support of her supervisor with a guarantee that she will return to her position upon
        completing training.

Selection
Professional development grants are awarded on a first-come, first-served basis to women conservationists
wishing to attend quality training programs that will have a direct impact on their work at home. The Professional
development grant application is available online, electronically by email, and by mail. Applications must be
submitted at least three months before the date the training starts.

Application Instructions
Please be sure to follow all steps below when applying for a professional development grant.

   Complete all pages of the application form included in this booklet.
   Write your name at the top right corner of each page of the application form.
   Sign the "Applicant Agreement" page (Section VI of the application).
   Completed application forms should be submitted by email to Judith.Balint@wwfus.org. By mail to:
    EFN Congo Basin Professional Development Grants, World Wildlife Fund, 1250 Twenty-Fourth Street, NW,
    Washington, DC 20037, USA

                                                         1
                                                                Name: __________________________




                       EFN Professional Development Grant Application
                        Sponsored by the Liz Claiborne Art Ortenberg Foundation
Please TYPE or PRINT in blue or black ink.

I. Personal Information

1. Your name as it appears in official documents:

2. Family name/surname:

3. Given name:

4. Date of birth (day/month/year):

5. Nationality:

6. Contact information where you would like to receive correspondence regarding your application:
   Home              Work
Full street address:
City, state or province, and post code:
Country:
Home Phone:
Business Phone:
Fax:
Email address:


7. Marital status:          single        married       other        (please specify)




                                                    1
                                                                 Name: __________________________

II. Educational and Professional History

8. Beginning with the most recent institution, list all universities, colleges, and secondary schools
   attended.

                                             Diploma,
                           City and                             Date         Major, Degree Subject, or
      Institution                          Certificate, or
                           Country                            obtained            Specialization
                                           Degree earned




9. List any foreign languages you speak and rate your conversational ability in each (excellent, good,
   fair, poor).


10. Current place of employment (name of organization):
    Full mailing address (street address) of your employer:
    City, state or province, and post code:
    Country:
    Telephone:
    Fax:

11. Your job title:

12. Please describe your current job responsibilities:

13. When did you begin employment at this organization? (month/year)

14. Your supervisor’s name and email address:

15. Please list previous paid conservation positions you have held. Begin with your most recent position.


                              Dates employed
           Employer                                City and Country              Position (title)
                                (from – to)




                                                         2
                                                               Name: __________________________


III. Training Information

16. Full title of proposed training program:

17. Training start date: (day/month/year)

18. Training end date: (day/month/year)

19. Location of proposed training:

20. Full name of training institution:

21: Full contact information for training institution:
        Telephone:
        Fax:
        Web address:
        Email:
        Name of contact person:
        Full mailing address:


22. Please provide the name and contact information of the person organizing the training program:
        Name:
        Title:
        Email:
        Fax: (please include country/city codes)


13. Please explain (a) why attending this training is important to you and (b) how the proposed training
    will help you advance your career and conservation goals.




                                                         3
                                                                Name: __________________________

IV. Budget Information


24. What is the latest date by which you will need to receive funding (day/month/year)

25. Do you have a bank account in your own name? Yes               No
    If yes, please give us your name as it appears in your bank account:

26. If the proposed training costs more than US$5,000, do you have alternative funds (personal funds or
    funds from other organizations) to help cover some of your expenses? Yes           No

   If yes, how much could you contribute from other sources? (Please list sources and amounts.)



Exchange Rate: US$1=                (training local currency)
Item                               Amount requested in            Amount requested
                                     local currency               from EFN in US $
Tuition & Fees
Required fees
Living Expenses
accommodations
meals
other (explain)
Books & Materials
books
materials (explain)
Travel Expenses
airfare
surface transportation
visa fees
departure tax
Other Expenses (explain)




Total Amount Requested from EFN                                        US$




                                                    4
                                                                          Name: __________________________

V. Applicant Agreement
Please sign and submit this page with your application

Applicant Acceptance Agreement
If awarded an EFN professional development grant, I agree to complete the WWF pre-training and post
training survey; to keep World Wildlife Fund informed of my contact information and career progress,
and to prepare the required reports after the award period, as may be requested. I also agree, upon
acceptance of an EFN professional development grant, to allow my name to be published in association
with this program and any related sponsors.

I affirm that, to the best of my knowledge and belief, all of my statements made in this application and to WWF staff are
true and made in good faith.


_______________________________________________ __________________
Signature                                        Date




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