Rick Bastiani Project Administrator rick@canadaukfoundation.org Travel Award for Academic Staff and Doctoral Students - Application Form APPLICANT DETAILS a) Name: b) Address: c) Telephone: d) E-mail: e) Academic Status: f) Referee name and email: RESEARCH PROJECT DETAILS (MAXIMUM 350 WORDS) (including dates and proposed activities. If a conference is also involved, please detail the event and the title of your paper) ESTIMATED COSTS Travel Accommodation and subsistence: Other (including conference fees, if applicable TOTAL £ £ £ £ EXPECTED OUTCOMES (MAXIMUM 150 WORDS) Please specify funding already sought from other sponsors (e.g. University, British Academy, etc. __________________________________________________________ HEAD OF SCHOOL (Print name) SIGNATURE Signature – £ ____________________ DATE Date – Print Name – Please submit your completed application, along with a short CV, as e-mail attachments to rick@canadaukfoundation.org, labeling both attachments clearly with your name. To confirm your eligible status as a contracted, UK-salaried member of a UK university (faculty applicant) or a registered postgraduate student (doctoral applicant), you must also submit a hard copy of your application, signed by your Head of School, to Rick Bastiani, Secretary, Foundation for Canadian Studies in the UK, 34 Grange Avenue, Luton, Bedfordshire, LU4 9AT. Canada House, Trafalgar Square| SW1y 5BJJ, London, UK | canadaukfoundation.org