American Wildlife Conservation foundation, INC.
William C. Churchill fund – Karl T. Fredrick memorial Fund
CONSERVATION – EDUCATION – RESEARCH
John Hasenjager, Grants Comm. Chair
American Wildlife Conservation Foundation
5698 State Route 23
Cincinnatus, NY 13040
Email: jhas@frontier.com |
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Title of Proposal: _________________________________________________________ _______________________________________________________________________
Type of Project: __________________________________________________________
Name, Affiliation and Address of principal Investigator or Leader: _______________________________________________________________________ _______________________________________________________________________
Amount Requested: $ _______ Telephone – Work: ( ) ________ Home ( ) _________
Duration of Project: _______________________________________________________
Agency and Address of Agency to Receive Grant:
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Signature of Applicant: _________________________________
Title:
_________________________________
Date:
_________________________________
Email:
_________________________________ |
Signature of Supervisor or Agency Representative:
_________________________________
Title:
_________________________________
Date:
_________________________________ |
Mail original and 5 copies to Grants Committee (above) by February 1 (summer work) or by
August 1 (for next calendar year). In addition, please submit one (1) electronic copy of grant application and all subsequent progress and final reports.
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