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Action Research Teacher Scholarship Application Form

Name
Email
Phone Number
Date of Birth
Gender

Country of Passport issue
Describe previous engagement with the Foundation (e.g professional development courses)
How did you learn about the Teacher Scholarships offered by the Al Qasimi Foundation?

School name
Professional role
Other Professional role
Subjects taught or supervised
Other subjects taught or supervised
Main school phase you work in
Other Main school phase you work in

Have you taken the Foundation’s 21st Century Research Program workshop series?

Will the proposed project be undertaken by an individual or a team?

Name
Email
Phone Number
School name
Professional role
Other Professional role
Subjects taught or supervised
Other subjects taught or supervised

Name
Email
Phone Number
School name
Professional role
Other Professional role
Subjects taught or supervised
Other subjects taught or supervised

Name
Email
Phone Number
School
Professional role
Other Professional role
Subjects taught or supervised
Other subjects taught or supervised

Statement of intent in the form of a cover letter
Research proposal
Budget with itemized expenses
Curriculum vitae (CV) or résumé for lead researcher and each team member (combined in one file)
Research approval from RAK Ministry of Education and applicant’s school (combined in one file)
Documentation that lead researcher has successfully completed an action research or research methodology course
Recommendation letter (#1)
Recommendation letter (#2)

I declare that the information provided on this application form and in the attached documents is true, correct, and represents my own work. Further, I declare that I have no prior record of criminal convictions held in my home country or other countries, and have no criminal charge(s) still pending before court. I understand that canvassing or giving false information will disqualify my application. In addition, I also confirm that if information contained in the application is found to be false or incorrect, the Foundation reserves the right to withdraw any grant awarded or position offered and will seek reimbursement for all expenses incurred.If you agree with the declaration above, please type your name below and hit Submit

I declare that the information provided on this application form and in the attached documents is true, correct, and represents my own work. Further, I declare that I have no prior record of criminal convictions held in my home country or other countries, and have no criminal charge(s) still pending before court. I understand that canvassing or giving false information will disqualify my application. In addition, I also confirm that if information contained in the application is found to be false or incorrect, the Foundation reserves the right to withdraw any grant awarded or position offered and will seek reimbursement for all expenses incurred. If you agree with the declaration above, please type your name below and hit Submit

Signature