BCA Arnold Beevers Bursary Application Form
Charity Registration No. 284718

The completed application form should be sent to the Administrative Office of the BCA (details overleaf) together with a statement from your supervisor or Head of Department concerning the relevance and importance of this meeting/visit to you and your research.
For further details please read the notice published in BCA Crystallography News (Dec. 2001).

1.	Name:  Title		Initials		Surname	
2.	Address		

	Tel No.			FAX No.	
	E-mail address	
3.	Approximate date of joining the BCA		
	(see note A)
4.	Present position (with start & expected final dates)	
		
5.	Present means of financial support	

6.	Have you applied for any BCA bursary before?	
	If "YES" :          Date		
	and what type of bursary applied for? (Please circle)..........GENERAL.............SPRING CONFERENCE	
	(see note B)
7.	Which BCA meetings have you attended/registered for?	
	(see note C)
8.	Meeting/visit to be attended	
9.	Place of meeting/visit	
10.	Meeting/visit dates	
	(see note D)
11.	Date by which a BCA funding decision is needed	

. 12.	What is the value of your participation for:
	a) your scientific career	
		
	b) the conference/host institution	
		
	c) your home laboratory	

13.	Approximate costs for:	a) travel	
		b) subsistence	
		c) registration		
		d) Total amount	
14.	Other sources of financial support for this meeting/visit:
	a) amount(s) already in place	
	b) amount(s) still being sought		
	c)procedure of last resort in case of shortfall		

15.	Name of supervisor whose supporting statement accompanies this form		

16.	Any further details and/or comments		

		

Date		Signature