Name of Applicant_____________________________________________________
Institution________________________________Position___________________
Mailing Address_______________________________________________________
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Telephone (Work)___________________________(Home)_____________________
Name of Sponsor (if Required)_________________________________________
Institution________________________________Position___________________
Mailing Address_______________________________________________________
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Telephone (Work)___________________________(Home)_____________________
Period for which Permit is Required___________________________________
DESCRIPTION OF RESEARCH PROJECT: Please attach a copy of your research proposal (approximately 5-10 double-spaces pages) Title of Research Project_____________________________________________
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Location______________________________________________________________
Land Owner______________________________ Telephone____________________
Objectives____________________________________________________________
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Significance__________________________________________________________
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Research Plan and Methodology_________________________________________
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Relation to Previous Work_____________________________________________
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Schedule of Field Work and Analysis___________________________________
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(Attach Itinerary if Appropriate)
Arrangements for Artifact Conservation________________________________
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Name of Conservator___________________________________________________
Address_______________________________________________________________
Telephone (Work)_________________________(Home)_______________________
Schedule of Return of Material to the Province________________________
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List of Participants and Field Personnel______________________________
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Financial Support_____________________________________________________
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(If you are requesting financial support from the Provincial Archaeology Office, Culture and Heritage Division, a separate application is required)
Education and Qualifications__________________________________________
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CURRICULUM VITAE: Please enclose an up-to-date Curriculum Vitae with your application.
REFERENCES: List three references who are familiar with your research project (include full address and telephone numbers)
1. __________________________________________________________________
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2. __________________________________________________________________
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3. __________________________________________________________________
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I hereby agree to conform to the terms and conditions of the permit, and the provisions of the Historic Resources Act (1985).
_____________________ _______________________ Applicant’s Signature Date _____________________ _______________________ Sponsor’s Signature Date
RETURN TO:
PROVINCIAL ARCHAEOLOGIST Provincial Archaeology Office Culture and Heritage Division Department of Tourism, Culture and Recreation P.O. Box 8700 St. John’s, NF A1B 4J6 Telephone: (709) 729-2462 Fax: (709) 729-0870
The Provincial Archaeology Office, Culture and Heritage Division acknowledges receipt of your Archaeological Research Grant Application this day ___________________________.
______________________________ Provincial Archaeologist Provincial Archaeology Office Culture and Heritage Division