P a g e |1 Australian Climate Change Adaptation Research Network for Settlements and Infrastructure Forum and Workshop for Early Career Researchers and Practitioners 15-17 February 2016, University of Canberra, ACT Please email to: accarnsi@unsw.edu.au as a word document file. NOTIFICATION OF ACCEPTANCE BY MONDAY 4 JANUARY 2016 1. CONTACT DETAILS: Title (Ms/Mr/Mrs): Family Name: Given Names: University/Organisation: Department/School: Email: Mobile Tel: Will you be applying for an ACCARNSI travel grant? If yes, what city/state will you be travelling from? 2. SUBMISSION DETAILS: Abstract Title: Authors: Research Area*: *(1) Infrastructure (Water, Transport, Energy, Communication) & Coastal Settlements (2) Coastal Planning, Management & Communities (3) Urban & Regional Infrastructure (Water, Transport, Energy) (4) Urban & Regional Planning (5) Coastal and Urban Governance 3. REFEREES (academic, industry or government): Referee 1: Name: Position: University/ Organisation: Email: Referee 2: Name: Position: University/ Organisation: Email: ACCARNSI Early Career Researcher Workshop Application Form Feb 2016 P a g e |2 4. PRESENTATION: Abstract (max 250 words): 5. PERMISSION TO PUBLISH/UPLOAD TO WEBSITE: If I am selected to participate in the Workshop/Forum I give permission for The Australian Climate Change Adaptation Research Network for Settlements and Infrastructure (ACCARNSI) to distribute to members of ACCARNSI and NCCARF pdf versions of the full abstract and presentation. Applicant/Author’s Name:…………………………………………………………………………………………. Applicant/Author’s Signature: ………………………………………………………………..Date: ACCARNSI Early Career Researcher Workshop Application Form Feb 2016 / /