2023 GreenMatter Fellowship Application Form_Harry Crossley

Bursaries for Ph.D. study in an environmental-related field of study

PERSONAL DETAILS

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* 1. Title

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* 2. Surname

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* 3. Full names

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* 4. Date of birth

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* 5. Gender

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* 6. Are you a South African Citizen?

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* 7. If not, what is your nationality?

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* 8. Race

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* 9. Personal email address

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* 10. Cell number

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* 11. Alternative number

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* 12. Residential address with postal code

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* 13. Postal address with postal code

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* 14. Address while studying (if not living at the residential address provided above)

INTENDED STUDY FOR THE 2023 ACADEMIC YEAR

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* 15. Name of institution

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* 16. Name of qualification e.g. Ph.D. Water Ecology

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* 17. What is your proposed research topic?

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* 18. Please complete the following ; I....

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* 19. Duration of study

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* 20. Mode of your study;

POST-MATRIC QUALIFICATION/S

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* 21. Highest qualification obtained and year obtained

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* 22. Name of Institution

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* 23. Average percentage for qualification obtained

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* 24. Who paid for the qualification you obtained (relative, sponsor, self)?

EMPLOYMENT

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* 25. Were you previously employed? If no, skip to Question 30

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* 26. If yes, please provide the name of the employer/s and their contact details

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* 27. Position held

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* 28. Duration of your employment

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* 29. Please summarize the main responsibilities of your previous employment.

FINANCIAL INFORMATION

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* 30. Are you currently employed ?

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* 31. If yes, is it part-time OR full-time? If no, skip to Question 35

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* 32. Current job title

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* 33. Name of your employer?

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* 34. What is your monthly salary?

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* 35. How much are the 2023 tuition fees for your course?

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* 36. Are you staying on campus or off campus?

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* 37. How much is your residence fee OR monthly rent?

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* 38. How much is your monthly transport cost?

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* 39. How much is your monthly food cost?

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* 40. Do you have other expenses related to your studies? If so, please provide the details below.

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* 41. Have you applied to any other organizations for bursary support for 2023?

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* 42. If yes, what is the status of your application?

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* 43. Are you receiving any other bursary/grant or financial assistance?

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* 44. If yes, describe below the nature of financial assistance and obligations involved and provide the name of the institution that granted the assistance

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* 45. If you do not have any bursary/grant or financial assistance, how are you currently financing your studies? (working, parents/guardians, savings, loan, etc)?

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* 46. Please describe your financial situation and explain why you need this bursary (Maximum 150 words).

MOTIVATION

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* 47. GreenMatter has a list of priority skills areas, which you can find on our website in the "Priority Skills Library" under the "Resources" tab.
Please tick, from the list below, the priority skills areas which relate to your field of study. (You may select more than one).

Agricultural extensionists with biodiversity specialism

Bioinformatics: ICT specialists and technicians with biodiversity skills

Curators of biodiversity collections;

Ecologists: esp. in marine but also aquatic and terrestrial systems

EIA practitioners

Engineers (civil) with biodiversity specialism

Lawyers with environmental specialism

Geneticists: molecular biology with a specialisation in biodiversity conservation (as opposed to commercial applications)

GIS specialists and technicians

Human Capital Development: High level biodiversity education and HCD specialists

Monitoring specialists, species protection officers and inspectors

Policy developers & analysts, urban & regional planners with biodiversity insight

Protected area managers

Resource economists with biodiversity related specialism;

Social scientists specialising in environment, indigenous biodiversity knowledge

Social ecologists

Soil scientists

Statistical ecologists & modellers

Taxonomists

Wildlife veterinarians

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* 48. GreenMatter wishes to address both absolute and relative skills scarcity in the biodiversity sector. Please describe how the skills you are cultivating through your field of study and research will contribute to the skills needed in the biodiversity sector (Maximum 200 words).

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* 49. GreenMatter believes that leadership is key to transformation in the biodiversity sector. Please describe how you have developed your leadership skills and give specific examples of where your leadership has made a difference. This may be in academia, at work or in your community (Maximum 400).

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* 50. GreenMatter seeks to develop a network of committed and able biodiversity ambassadors. Please use this section to tell us how you would contribute to the fellowship network and be a good ambassador for the sector (Maximum 200 words).

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* 51. Have you ever acted as a mentor or tutor to others? Please give examples. (Maximum 200 words).

OTHER INFORMATION

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* 52. Please tell us any other information you think is relevant to your application, for example, ways in which you contribute to your community other than through your studies and/or employment (Maximum 150 words).

NETWORK AND MENTORING PROGRAMME

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* 53. GreenMatter recognises the importance of networking with peers and exposure to positive role models in supporting students to succeed in, and beyond, their studies. Fellowship participants will have access to various forums for networking and will also have the opportunity to be matched with a mentor. Please tell us what your particular mentoring and networking needs are, as well as what you would hope to achieve through accessing the programme (Maximum 200 words).

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* 54. How did you here about the GreenMatter Fellowship bursary opportunity?

Internet search

GreenMatter website

GreenMatter Facebook page

At my workplace

Word of mouth

Print media

	Yes	No
I confirm that the information provided in this application form is accurate and complete	I confirm that the information provided in this application form is accurate and complete Yes	I confirm that the information provided in this application form is accurate and complete No
I understand that if I have not included any of the required supporting documents, my application will automatically be rejected and if I am not accepted to be registered for my course I will not qualify for this bursary	I understand that if I have not included any of the required supporting documents, my application will automatically be rejected and if I am not accepted to be registered for my course I will not qualify for this bursary Yes	I understand that if I have not included any of the required supporting documents, my application will automatically be rejected and if I am not accepted to be registered for my course I will not qualify for this bursary No
I understand that if my application arrives late, it will not be considered	I understand that if my application arrives late, it will not be considered Yes	I understand that if my application arrives late, it will not be considered No
I understand that GreenMatter cannot return the documents I submitted	I understand that GreenMatter cannot return the documents I submitted Yes	I understand that GreenMatter cannot return the documents I submitted No
I understand that if I am successful and accept the award, I will need to be available to attend the Fellowship Orientation workshop event which will take place on the 14th - 17th May in Gauteng	I understand that if I am successful and accept the award, I will need to be available to attend the Fellowship Orientation workshop event which will take place on the 14th - 17th May in Gauteng Yes	I understand that if I am successful and accept the award, I will need to be available to attend the Fellowship Orientation workshop event which will take place on the 14th - 17th May in Gauteng No

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* 63. I hereby give GreenMatter consent to process my personal information, in accordance with the provisions of the Protection of Personal Information Act, for all purposes related to the carrying out of this mandate.

Please sign by writing your initials and the date that the form was signed.

The closing date is Friday, 28 April 2023

All information will be securely stored and utilized in compliance with the POPI Act.