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Please complete this Research Application Form fully, before

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Please complete this Research Application Form fully, before Powered By Docstoc
					                           RESEARCH Application
Please complete this Research Application form and project proposal fully, before
                              returning it to us at
                       research@cheetahbotswana.com
                           Click on each grey field to complete the section

        Application Date (dd/mm/yy):

        Proposed Study Level: MSc                           PhD

        1. Your Details:

        NAME:
        DATE OF BIRTH:
        GENDER:              Male                Female
        ADDRESS:
        State/Province
        Country
        E-MAIL ADDRESS:
        NATIONALITY:


        2. Proposed Title and Area of Research
        Title:
        Please check the relevant category:
        Home range behaviour and movement pattern studies by district or region
        Population assessment by district of region
        Effects of translocation on trans-located cheetahs
        Human attitudes in rural communities towards predators
        Human interaction between rural communities and predators
        Effective farm management techniques to promote coexistence with predators
        Effectiveness and use of livestock guarding animals as a predator deterrent
        Effectiveness of predator education programmes
        Veterinary research
        Other




        3. Academic History

                                                                   www.cheetahbotswana.com
                         _____________________________________________________________________________________________________________
                      RESEARCH Application
BSc qualification
Subject:

University:

Grade:

Year of Graduation:

MSc qualification (if applicable)
Subject:

University:

Grade:

Year of Graduation:

4. Prospective Field Research
Please identify the college/university (by full address) to which you are/will be affiliated during
your proposed field research in Botswana


Faculty

Academic supervisor name
Position
Contact email address
Contact phone number

Please identify any reporting requirements established by this college/university


Please identify which CCB location in Botswana you would wish to utilise as an operating base
for your field research activities while in Botswana

Jwaneng               Ghanzi
Non-CCB Base             (Please state location)
Please identify the proposed month in which you intend to commence the field research
element of your study in Botswana
Month & Year                          Duration (to a maximum of 12 months)

Please indicate if you require support from CCB in obtaining Research Permit Application
documents
NO            YES
Please note that students will be responsible for completing Research Permit application
documents, for providing any additional supporting material and for advanced submission to
Botswana’s Department of Wildlife & National Parks.

5. Funding
                                                              www.cheetahbotswana.com
                    _____________________________________________________________________________________________________________
                     RESEARCH Application
Have you already attracted funding in whole or in part to provide support for the proposed
field research component of your MSc or PhD studies in Botswana?
NO           YES
Please indicate the total supporting funds (in $ U.S. including CCB fees) you calculate to be
required for the duration of your field research in Botswana and its successful completion.
$
If you have raised part funds please describe your fund-raising activities, please indicate when
you anticipate further funding decisions to be made.



6. Health
Are you restricted by any physical disability?
NO           YES
If YES, please explain


Do you expect to be taking medication for any mental or physical condition during
your prospective placement with CCB?
NO           YES
If YES, please explain



7. Current/Most Recent Employment
Name of Current Employer:
Job Title:
Location (district & country):
Dates of Employment (mm/yy):                     to
Responsibilities


Name of Previous Employer:
Job Title:
Location (district & country):
Dates of Employment (mm/yy):                     to
Responsibilities


8. Voluntary or Unpaid Work
Name of charity/NGO/organization:
Job Title or role:

                                                             www.cheetahbotswana.com
                   _____________________________________________________________________________________________________________
                     RESEARCH Application
Location (district & country):
Dates of Engagement (mm/yy):                                 to
Responsibilities


Name of charity/NGO/organization:
Job Title or role:
Location (district & country):
Dates of Engagement (mm/yy):                            to
Responsibilities


9. Referees
Please provide the names and e-mail addresses of two people who we may
approach for references with regards to this Application (Ideally an academic
reference and a previous employer).
Name :                e-mail address:

Name :                e-mail address:

Briefly, any other qualities which you feel relevant to this Application (you can also
include countries to which you have travelled or in which you have previously
worked)?




Please check your Application before returning it to us at
          research@cheetahbotswana.com

 Please attach your CV, the application form, project proposal and a brief
 cover letter. Please ensure the single e-mail does not exceed 1MB in total.
        Thank you for supporting Cheetah Conservation Botswana.




                                                             www.cheetahbotswana.com
                   _____________________________________________________________________________________________________________
                        RESEARCH Application
         PROJECT Proposal
         Title of Proposed Research:



         Why is the research important / necessary?
         (Briefly provide some background to your research area, and how your research will
         aid cheetah conservation):




         Methods:
         (What techniques do you intend to use, questionnaires, spoor tracking, motion cameras
e.t.c)




         Timeline: (dd/mm/yy)
          Date PhD/MSc starts:                          PhD/MSc finishes:
          Date Field research starts:                        Field research finishes:


         Budget: (Please include a rough estimation of costs), for example:
         CCB accommodation and research fee $600 / per month
         Vehicle
         Living costs
         Equipment
         Other




                                                                www.cheetahbotswana.com
                      _____________________________________________________________________________________________________________

				
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Description: Please complete this Research Application Form fully, before