Grants

Grant Application Form

Travel Grants for IASA members to attend the Annual Conference

Application form

Travel grants are determined for IASA members only. Please read the Guidelines carefully before completing this form. Please print the application form out and fax or post to:

Secretary-General: Ilse Assmann
Media Libraries
South African Broadcasting Corporation
PO Box 931, 2006 Auckland Park, South Africa

Phone: +27 11 714 4041
Fax: +27 11 714 4419
e-mail: assmanni@sabc.co.za

GRANT APPLICATION FORM

Conference (title and location):

Dates of attendance:

Name:

Institution:

Address:


Country
if other

Phone:

Country Code
City Code
Fax Number

Fax:

Country Code
City Code
Fax Number

e-mail:

Repeat e-mail:

My IASA membership status is:

	Individual member
	Institutional member (If you represent an institutional member your application must be countersigned by the director or a senior officer of your organisation.)

Total amount of estimated travel costs (US$ or Euro):

(must be confirmed by an official travel agency)

I apply for the following amount (US$ or Euro):

(normally 50% of total travel costs are met)

I will present a paper:

	Yes
	No

Title of the paper:

State briefly the importance of this attendance to your own professional development and the impact it will have on your archival institution:

Signature of applicant:

______________________________

Date: _________________________

Signature of Institution (if applicable):

______________________________

Date: _________________________

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