Grants:
Esri Conservation Program (ECP) Grant Form

This is the main ESRI grant form, basic and advanced.
You must have read the instructions first .

--------------------APPLICATION FORM----------------------
+++++++++++++++++++++++++++++++++++++++++++++++
IMPORTANT! IMPORTANT! IMPORTANT! IMPORTANT!
BE SURE YOU HAVE FOLLOWED THE FORMATTING, SUBJECT
LABELLING AND SUBMISSION INSTRUCTIONS EXACTLY AS DESCRIBED
IN THE INSTRUCTIONS OR YOUR APPLICATION WON'T REACH US!

====Please Delete this line and everything above it====

[ESRI CONSERVATION PROGRAM APPLICATION v9.2012. (Code ECP)]

*-- REQUIRED ORGANIZATION data
*- Organization Name [ORGNAME]?:
*- ESRI grant code (do not change): ECP
*- your tax-exempt number if any [OTAX]?:
*- your ESRI client number if any [OESRI]?:
*- Street/Fedex address [OADDR1]?:
*- Street Address line 2 [OADDR2]?:
*- Mailing Address [OADDRM]?:
*- City [OCITY]?:
*- State ( 2-letter code) [OSTATE]?:
*- Zip or Postcode [OZIP]?:
*- Province (if any ) [OPROV]?:
*- Country (i.e. USA) [OCNTRY]?:
*- Office phone with area code [OTEL]?:
*- Office fax with area code [OFAX]?:
*- Main email [OEMAIL]?:
*- Org Web site URL if any [OWEB]?:
*- Type of organization [OTYPE]?:
*- Your Organization's total budget last year [OBUD]?:
*- Your GIS program budget last year [OGISBUD]?:

*-- REQUIRED APPLICANT/STUDENT data
*- Your full name and any initials [CFIRST]?:
*- Your honorific (i.e. Dr., Mr. Ms.) [CPREFIX]?:
*- your personal Street/DHL address [CADDR]?:
*- your City [CCITY]?:
*- your State ( 2-letter code) [CSTATE]?:
*- your Zip or Postcode [CZIP]?:
*- your Province (if any ) [CPROV]?:
*- your Country (i.e. USA) [CCNTRY]?:
*- Your direct phone number [CTEL]?:
*- Your direct email address [CEMAIL]?:

*---PAYMENT: $100 (or edit & explain) [RPAY]?: $100
*- Please ship to this address: (or edit) _X_ORGANIZATION __APPLICANT
*- Please bill to this address: (or edit) _X_ORGANIZATION __APPLICANT
*- I authorize you to bill me (edit if no) _X_Yes ___No
*- If applicable, bill to the following Purchase order #:

*-Today's Date [RDATE]?:

======INTERNAL NOTE: ESRI ORDER ENTRY ENDS HERE========

*---SPECIFIC REQUEST (click on any link for specific instructions)
*- Software request (type "yes" or leave blank) [RSOFT]?:
*- Specific Software & Version requested [RVERS]?:
*- ESRI-Press Book? (type "yes" or leave blank) [RBOOK]?:
*- Training days (type # of days or leave blank) [RTRN]?:
*- ESRI USA Conference Passes [RPASS]?:
*- PLANET ACTION request (yes or blank) [RPLANET]?:
*- ENVI software request (yes or blank) [RENVI]?:

*---YOUR COMPUTER DETAILS
*- Hardware platform [RPLATFORM]?:
*- Operating system & version [ROS]?:
*- Online Access Capability [RWEB]?:

*-- REQUIRED DESCRIPTION Essay on how you'll use the grant [OUSE]?:

*-- REQUIRED JUSTIFICATION(CONFIDENTIAL)? Essay justification
- on why you require a grant [OWHY]?:

*-- SHARING YOUR GRANT-Date you hope to share maps/data/stories
- at ArcGis.com (month/day/year, i.e. 11/4/99)[OSTATDUE]?:

*- IF APPLICABLE: date, URL & description of your recent ArcGIS.com shares/uploads [OSTATDATE]?:

 

*-- PICK A PUBLICATION: Please enter any ESRI press titles
WITH their ESRI part# i.e.: "Marine GIS part #83202" [RBOOK]?:


*-== COURSE/WEB PRE-REGISTRATION [CPREREG]?:
- CLASS Name:
- CLASS ID:
- Dates:
- Location:
- Student Name:
- Student Email:
- Speedtest results (ONLINE requests only):

*== FOR ESRI CONFERENCE PASS GRANTS ONLY: VOLUNTEER
- TASKS YOU CAN DO OR TITLE & ABSTRACT OF YOUR TALK [FTASK]?:

*-===END-this is the end of the ESRI grant application. If included,
Planet Action section follows here.


 

Copyright © ESRI and each respective author/contributor listed herein.
compilation & layout: Charles Convis, ESRI Conservation Program, May 2007
Send your comments to: ecp at esri dot com   ESRI Web Site . . . PRIVACY