Apply MES Mazurkiewicz Scholarship — Maine Entomological Society

Maine Entomological Society Mazurkiewicz Scholarship Application

Please fill out the fields below and press send. We recommend using a different program to work on your proposal and then copy-pasting into this form.

CONTACT INFO

Name

First Name

Last Name

Phone

(###)

###

####

Address Line 1

Address Line 2

City

State

Zip Code

PROPOSAL

The funds will be used towards (check all that apply)

Research

Personal Education

Education of Others

Funding amount requested (please round to the nearest dollar)

Please tell us about your proposal.

Brief description of your research and/or education plan:

How will your efforts impact the understanding of, or education about Maine insects?

How will you share the results of your effort?

Anticipated timeline (start date; significant milestones, if any; finish date)

Budget details:

Funding deadline, if any (e.g., tuition payment due date):

Organization, if any: will you do this work on behalf of, or in the context of an organization?

e.g., Pre-K - grade 12 School, college or university, land trust, nature center, after-school program, media platform, other.

Yes (Please fill out the first two blocks, below, before sending.)

No (Please fill out the final block, below, before sending.)

If so, please share contact information for the organization:

Your current role in the organization is:

If you are not affiliated with an organization please supply contact information for a person with knowledge of you and what prepares you for this effort: