International Society of Primatologists Conservation Grant Application Please complete the application in the space provided. The entire application must be in one document and not exceed 8 pages. No additional attachments are allowed. Font should be no less than 12pt. NOTE: Violation of these instructions may result in the rejection of your application. Label the file with YOUR name (e.g., “IPS2016 NAME.doc”). This step is very important. Please follow the direction! Please direct any questions to IPS Vice President for Conservation, Janette Wallis (wallis@primateconservation.info). Application Due: March 1st, 2016 Name Last: First: Middle Initial: Project Title of Proposed Project: Contact Information Address: Phone: E-mail: Fax (optional): Primate Species & IUCN Status: (List all) ________________________ _________________________________________________________ Please check all keywords that apply to aspects of your project: Location of project: ____ Africa & Madagascar Focus: ___Bushmeat/Wildlife Trade ___Human-Wildlife Conflict ___Advocacy/Awareness ___Conservation Education* ___Rescue/Rehab/Sanctuary* ___Biotic Survey/Census ___Disaster/Emergency Response ___Ecology ___Corridor Development ___Habitat Creation/Protection ___Protected Area Creation ___Ecosystem Health ___Habitat Fragmentation ___Demographic study ____ Asia ____ Central/South America ___Community Participation ___Sustainable Development ___Capacity Building/Training ___Reintroduction/Translocation ___Behavior/Ethology ___Genetics ___Disease/Health ___Population Management ___Habitat Assessment ___Anti-Poaching/Patrolling ___Protected Area Management ___Resource Use ___Climate Change ___Other: __________________________ * Note: If your project is primarily about Education, Basic Research, or Captive Care, you should submit proposals to the appropriate IPS Committee. Page 2 Provide a 200 word (maximum) summary of your proposal: 1. Describe the purpose of this grant request and how it relates to primate conservation. (1/2 page maximum) Page 3 2. What methods will be used to implement the project? Please provide specific details. 3. What methods will be used to evaluate the success of your project? Page 4 4. Describe the potential for enhanced primate conservation as a result of this project. (NOTE: This is a very important part of the application.) 5. Provide a timeline for this project. Page 5 6. Budget – Please provide detailed information for all expenditures not to exceed $1500.00. Do you have additional funds for this project and/or are you waiting to hear about another funding source? If so, please list funding sources and amounts (and whether the money is already awarded or pending). PLEASE INCLUDE JUSTIFICATION FOR EACH ITEM FOR WHICH YOU SEEK IPS FUNDING. Page 6 7. References – List any literature cited in your application. 8. Referees – List the name, affiliation, and email address of at least two people who can provide a reference for you. You do NOT need to ask for a letter from these individuals; the IPS Conservation Committee will contact them only if needed. If you are a student, please include your supervisor as one of these referees. 9. Permits and/or Approvals – There may be permits or approvals needed for your project – depending on your specific plans, your institution’s requirements, or the regulations specified by the location of the project. To the best of your ability, please indicate whether you have the required permission to carry out the planned project, by placing an “X” in the correct column. Permission Permission to work with animals (if applicable) (e.g., IACUC approval or the equivalent of any requirements set within your university or organization). Permission to work with humans (if applicable) (e.g., IRB approval or the equivalent of any requirements set within your university or organization). Permission to work within the park, reserve, and/or country where the project is planned (e.g., Research Permit or Work Permit). Obtained Pending Not Needed Page 7 (Optional Section) Conservation through Community Involvement (CCI) If you plan to include community conservation in your program you may be eligible for an additional award of $500 to support these initiatives. Please describe your Community Conservation Initiative (CCI) component below, addressing how these funds will be used and how this will impact conservation in your region. For more information on CCI and suggested CCI practices, please see the Guidelines for Conservation through Community Involvement posted in the publications section of the IPS website. (Do NOT exceed the space provided here. If you are not applying for CCI funds, write “Not Applicable.”) Page 8 Principal Investigator’s Curriculum Vitae Please include a brief (one page) CV of the Principal Investigator. Main highlights are sufficient. Send application to: Janette Wallis (wallis@primateconservation.info).