2011 Centennial Application Form TEAM FINAL 30 March 2011 v. 8.2 1 CENTENNIAL SCHOLARSHIP FUND APPLICATION FORM Please useAWARDS this form if you are applying to the Royal Aeronautical TEAM Society for a team award from the Centennial Scholarship Fund. For guidance in completing the application form, please refer to the separate ‘Application Form Guidance Notes’ for Centennial Scholarship applications. PLEASE TYPE YOUR APPLICATION OR–USE BLACK LEADER INK. SECTION 1 – PERSONAL DETAILS PROJECT 1. Full Name 2. Organisation 3. Position 4. Address and Postcode 5. Landline Tel 6. Mobile Tel 7. Fax number 8. E-mail 9. RAeS Membership Grade and Number (or Corporate Partner number) Please remember to let us know if your contact details change! SECTION 2 – APPLICATION DETAILS 10. Project title for which your application applies: .......................................................................................................................................... Target audience: ................................................................................................... 11. Previous submissions – state previous applications made to the Centennial Fund or other RAeS programmes such as the Aerospace Speakers’ Travel Grants and EADS Tech Masters Programme (including unsuccessful applications) and, where applicable, reference numbers. Please include dates and for successful applications the amount received. Page 1 of 5 2011 Centennial Application Form TEAM FINAL 30 March 2011 v. 8.2 12. Other awards/sponsorships. Please state details of awards/sponsorships you have received from other, non-RAeS sources and other awards/sponsorships you are applying for in connection with the project as described in question 11. SECTION 3 – COMMITMENT AND ACHIEVEMENTS IN AEROSPACE/AVIATION 13. Please give an account of your organisation’s/team’s background and achievements to date in pursuit of your objectives. Please also described similar successful projects that your organisation has been directly involved with including qualitative and quantitative measures of success and how these link to your current project/work. (500 words maximum). Page 2 of 5 2011 Centennial Application Form TEAM FINAL 30 March 2011 v. 8.2 SECTION 4 – FINANCIAL 14. Statement of case justifying an award and your reasons for seeking financial support from the Centennial Scholarship Fund. (300 words maximum) 15. Please complete Appendix A at the end of this form with details of other team members involved in the activities stated above, if applicable. SECTION 5 – REFERENCES: Although not compulsory, you are strongly advised to provide written references from people who know your work well and can support your statements, particularly for new applicants to the fund, ideally including at least one RAeS Member or Fellow. All reference letters should be posted directly to the RAeS who will collate with your application for review by the Panel. 16. REFEREE #1 Name Address Email: Referee #1 - Reference letter to be sent directly to RAeS by referee. Letter posted to RAeS? YES/NO (please circle) RAeS Fellow/Member? YES/NO (please circle) 17. REFEREE #2 Name Address Email: Referee #2 - Reference letter to be sent directly to RAeS by referee. Letter posted to RAeS? YES/NO (please circle) RAeS Fellow/Member? YES/NO (please circle) Page 3 of 5 2011 Centennial Application Form TEAM FINAL 30 March 2011 v. 8.2 SECTION 6 – FINANCIAL BREAKDOWN OF PROJECT 18. Summary of costs that would be met by an award. Please note that funds can support only a proportion of costs incurred by the project. You must also demonstrate other sources of funding e.g. other sponsors/donations, income from other funds etc. Please state your costs in pounds sterling (£). Centennial Fund awards of over £5000 are given only in exceptional cases. The average award given in the past is between £1000 and £3000. Total amount of money applied for in this application: £……………… ………………………………………………….. Payable to: Breakdown of costs: Date money required: Other sources of funding: SECTION 7 – DECLARATION Signature and acceptance by applicant of Conditions of Awards I accept that the information given in this form is, to the best of my knowledge, accurate at the time of making the application. I confirm that I am authorised to make this application on behalf of the organisation. If I am awarded funding from elsewhere, I will notify the RAeS. In making this application, I agree to the Terms and Conditions of the RAeS Centennial Scholarship Fund. Signature ____________________ Date ____ / ____ / ________ SENDING YOUR APPLICATION CHECKLIST TEAM Applications – Centennial Fund Reference letter #1 – posted directly to RAeS by referee? Reference letter #2 – posted directly to RAeS by referee? Appendix – if applicable Please send your completed application form, including any relevant supporting documentation to: Ms Jessica Tee Board and Committee Administrator Royal Aeronautical Society No.4 Hamilton Place London W1J 7BQ, UK Tel + 44 (0)20 7670 4312 Mark the envelope, ‘Centennial Scholarship Awards’ Only signed, original copies received by the relevant deadline date can be accepted. Page 4 of 5 2011 Centennial Application Form TEAM FINAL 30 March 2011 v. 8.2 APPENDIX Centennial Scholarship Fund Please complete this additional section regarding other team members who will be involved in the project activities you have outlined for this application. TEAM APPLICATIONS DETAILS OF OTHER TEAM MEMBERS If the “team” is a corporate or other collective body (e.g. a University, Company etc.) then the full name of the entity and brief background should be given to identify clearly how the “team” is defined. Team Member #1 Name: Job Title/Team role: Address: Telephone: E-mail: RAeS Grade: RAeS Membership Number: Team Member #2 Name: Job Title/Team role: Address: Telephone: E-mail: RAeS Grade: RAeS Membership Number: Team Member #3 Name: Job Title/Team role: Address: Telephone: E-mail: RAeS Grade: RAeS Membership Number: PLEASE DUPLICATE THIS PAGE IF REQUIRED You do not need to print this page if not applicable to your application. Page 5 of 5
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