Grant Application Form - Category 3.

The conference organisers are offering a few grants to provide partial support for senior statisticians from developing countries who are in full employment and who are in a position to influence the development of business and industrial statistics in their region.
Support will take form of grants of up to AUD2000 based on the supporting case. Reimbursement will be provided on presentation of proof of purchase of airline tickets and documentation for other expenses, at the Registration Desk at the conference; the original airline ticket has to be mailed to organisers immediately on completion of travel.

Please complete all sections. Incomplete applications will not be considered for grants.

Name:
E-mail:

What does your current job entail?

   (Max. 100 words)

2. What are your plans to promote business and industrial statistics in your region?

   (Max. 100 words)

3. How might attendance at the conference assist you in this regard?

   (Max. 100 words)

4. What is the level of assistance you require?

5. Contact information for two professional referees
(e.g. supervisor, head of department, line manager, senior colleague,...)

Referee 1		Referee 2
Name		Name
Position		Position
E-mail address		E-mail address

Please upload a copy of your CV or a transcript of your academic results.

Note: it is a condition of acceptance of a grant that you either present a paper at the conference, or submit a short account of your experience for the SSAI Newsletter within one month of the conference.

I agree to abide by this condition

Thank you. We will contact you as soon as we can.