Aotearoa New Zealand Science Journalism Fund

First Name

Last Name

Email Address

Are you a citizen or legal resident of New Zealand ?

Yes

No

Phone Number

Personal Website

Upload CV - Max 1MB

Please upload your CV in DOC or PDF format. Please ensure that this includes all of the required information listed in the Guidelines for Applicants.

How many years of journalistic experience do you have to date?

Current employer

How did you hear about this fellowship?

Proposed topic title (20 words maximum)

Summary of project (800 words maximum). Please ensure that this includes all of the required information listed in the Guidelines for Applicants. Also describe how the proposed project explores one of the three outlined project themes.

800 words maximum

Budget ($500 to $10,000)

Budget Proposal

Please provide details of the funds ($500 to $10,000) you are applying for and a breakdown of how you propose to spend this money.

Please provide three samples of your work via File Upload or URLs below

File 2

File 3

3 examples of your work

Please provide the contact details (Name, phone no, e-mail address, and relationship) of two people familiar with your work and can comment on your abilities and potential as a journalist

Referee 1 - Name

Number

Referee 1 - Number

E-Mail

Referee 1 E-Mail

Relationship

Referee 1 - Relationship

Referee 2

Referee 2 - Name

Number

Referee 2 - Number

E-Mail

Referee 2 - Email

Number

Referee 2 - Relationship

Support - Please upload a letter of support from a media outlet (PDF or .doc format only, 1 MB maximum size). *