OVRP Application for Assistance

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To request an award from the Omo Valley Research Project, please complete the following application. Successful applicants will be required to provide documentation of their available financial resources. Once awarded, applicants will be expected to submit progress updates and verify that expenditures are in compliance with the award. Applications are reviewed on a rolling basis and applicants should receive a decision within two months of submission.

Please try to answer questions as completely as possible as this will help us evaluate your application.

For questions, please contact ovrp@omovalleyresearchproject.org

Email *

What is your full name? *

What is your date of birth? If you don't know the exact date, please enter the year of your birth (or your age) to the best of your knowledge.

What is your gender?

Male

Female

Prefer not to say

Other:

Clear selection

What is your address? If no address is available, please indicate where you live (for example, Kebele, Woreda, Zone #, etc).

What is your phone number? *

If you are a member of one of the groups in the Omo Valley, please state which group you are a member of (example: Hamar, Nyangatom, Kara, etc.)

What is your occupation? If you are a student, please list student.

What is the highest grade you have completed?

Are you currently in school?

Yes

Other:

Clear selection

If you are in school, what is the name of your school? What is your course of study, and the degree you are working toward? (If you are a student, you will be expected to demonstrate enrollment in a school before receiving an award).

If you are in school, what is the contact information for the school (physical address and phone number, if available)?

Are you currently employed?

Yes

Other:

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If you are employed, what is the name of your employer?

If employed, what is your salary?

Are you married?

Yes

Other:

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If you are married, what is your spouse's name?

What is your spouse's occupation, if any?

How many dependents do you have, what is your relationship to them, and what are their ages? For example, if you have a son who is 5 and a daughter who is 2, then you would have "two dependent children, ages 5 and 2". If you have no dependents, please answer 0 or n/a.

What is your annual household income?

What funds do you currently have available to you?

If you are completing this form on behalf of another person, what is your name and relationship to that person?

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