Application Form

Last Name ________________________________
PLEASE PRINT
AMERICAN MUSEUM OF NATURAL HISTORY
OFFICE OF GRANTS AND FELLOWSHIPS
Central Park West at 79th Street
New York, New York 10024-5192
RESEARCH GRANTS APPLICATION for (please check one):
q THEODORE ROOSEVELT MEMORIAL FUND
Application deadline: February 15, Announcement: April 30
q LERNER-GRAY FUND FOR MARINE RESEARCH
Application deadline: March 15, Announcement: May 15
INSTRUCTIONS
A completed signed form and all supporting material (except letters of recommendation) should be submitted IN
DUPLICATE to the attention of the appropriate Fund, American Museum of Natural History, Central Park West at
79th Street, New York, New York, 10024-5192.
BRIEF DESCRIPTION OF FUNDS
The Lerner-Gray Fund for Marine Research is intended for projects in marine zoology with emphasis on
systematics, evolution, ecology, and field-oriented behavior; it does not support marine botany. The Theodore
Roosevelt Memorial Fund is directed toward research on North American fauna, except birds. These funds
support research in either neontology or paleontology. Awards are for one year and average $1,750; most grants
range between $200-$2,500. Applicants are usually allowed a maximum of two awards .
APPLICATION GUIDELINES
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The budget on 1 separate page must show clearly the amounts and purposes for which the award will be used.
If travel by automobile is required, an allowance of up to 40.5 cents per mile may be used in calculating costs.
The following items are most commonly supported:
Consumable supplies or expendable equipment, living expenses in the field or at a research station, and
travel expenses.
The following items are not supported:
Permanent equipment, salary for principal investigator, overhead, conference or meeting costs, expenses
and travel for field assistant.
Describe in 2 pages, the proposed investigation in sufficient detail to be evaluated by scientists in your discipline.
Two letters of recommendation in signed, sealed envelopes must accompany application.
If applicant has previously received an award from any of the above funds, a progress report must be submitted
by the current application deadline.
The application should be 12 pt Times New Roman font and cannot exceed 5 pages. It should includes 2 pages for
the project description, 1 page for references, 1 page for the budget and 1 page for other information.
Applications lacking any information requested will not be reviewed. It is the applicant’s responsibility to ensure
that the application form and all supporting documents be postmarked on or before the appropriate deadline date.
Signature ________________________________________________ Date ______________________________________
Please TYPE all information
Please circle your field of research from the following list.
This list is used mainly to sort applications prior to review by the appropriate department.
Entomology
Herpetology Ichthyology
Living Invertebrates Mammalogy
Paleozoology
Name
Present position
Institution address
Telephone number
SS# (if you have one)
Mailing address
E-Mail address
Candidate for degree (student applicants only)
Master’s
Ph.D.
Research advisor
Letters of recommendation must be submitted by two persons, who are:
and
Letters in signed, sealed envelopes must be included with the application.
Additional support in the amount of $ ______________ for this project (or part of it) has been
received
granted
requested
from
If applicant has previously received an award from any of the Funds named on this form, indicate year(s)
____________ title of project
Fund name
and amount awarded $
A report (or publication) from previous award is attached or was submitted to appropriate Fund (date)
.
PROJECT DESCRIPTION
Please describe your project using no more than 2 pages single spaced using 12 pt Times New Roman font.
Include the following information:
1) name of investigator
2) project title
3) project location and duration
4) project description
Put literature cited on a separate page.
Describe the proposed budget on a separate page (Please be explicit about the role of AMNH funding in the project.)
Please attach a Curriculum Vitae with list of publications.
FOR OFFICIAL USE ONLY
Review form: To be completed by reviewers
Recommendation (indicate one and comment): 5 is the highest recommendation
5
Name of Reviewer
Amount Recommended by Reviewer $
4
3
2
1
Date