new application form - Lithic Studies Society

advertisement
LITHIC STUDIES SOCIETY
JOHN WYMER BURSARY 2016
Please complete the form and return to: Dr. Olaf Bayer – chair@lithics.org - no later than March 1st
2016. You will be informed of the decision by March 14th 2016.
Personal details
Title (Dr, Mr, Mrs, Ms.
MA/Sc, BA/Sc):
Address:
Name:
Tel:
E-mail:
Lithic Studies Society Member
Date Joined LSS
Current employment *
Position:
Date started:
* If applicable — if unemployed or retired, state period of most recent employment
Background and experience (in less than 100 words outline your archaeological background and
experience)
Project (using up to 500 words, outline the work to which the bursary would contribute. This outline
should include a breakdown of the project costing including (if applicable) details of funding from
other sources)
Referee
Name:
Address:
Tel:
E-mail:
I confirm that all of the above information is correct and that, if I am in receipt of the John Wymer
Bursary, I undertake by December 1st 2016 to (1) provide a financial summary of expenditure
(including receipts) to the Treasurer of the Lithic Studies Society and (2) submit to the editor by
email a short report for the society’s journal Lithics on the activity supported by the bursary.
Signed:
For admin only
Received
Date:
Decision
Decision sent
Cheque sent
Download