| DXpedition Callsign (if known): |
|
| Proposed Destination(s): |
|
Date(s) of Operation & Duration (How Many Days?):
(If not known, please fill in your best estimate) |
* Required Input |
| Applicant's Callsign: |
* Required Input |
| Name: |
* Required Input |
| Date of Application: |
|
| Mailing Address: |
|
| Telephone: |
|
| Email address: |
* Required Input |
| Web Site URL: |
|
| Skype® Name (optional): |
|
| If your DXpedition has a web site and the resources to do so,
please provide a link back to this web site on your site. |
| Is landing permission(s) needed? |
Yes
No |
| If “yes”, has landing permission(s) been
granted? |
Yes
No |
| Has operating permission(s) been granted? |
Yes
No |
|
Applicant needs to confirm that supporting
documentation exists and will be made available to NCDXF if requested. |
| Modes of Operation: |
CW
SSB
RTTY
Other |
| Bands of Operation: |
160
80
40
30
20
17
15
12
10
Other |
| QSL Manager Name: |
|
| QSL Manager Callsign: |
|
| QSL Manager Mailing Address: |
|
|
Ranking on a most needed list. Include information regarding source of the list, date of publication, and any relevant statistics. |
|
| Please list team members, including name, callsign, previous DXpedition and/or contesting experience and any other information you think would be helpful to the NCDXF in assessing the likelihood of success of the operation. |
|
| Please list team members who are regular contributors to NCDXF. |
|
| Rigs and antennas to be used: |
|
| Please detail your proposed expense budget, in U.S. Dollars, for the operation. Normally the NCDXF expects each operator to pay for his or her own regular transportation to and from the operating destination or the nearest point of regular commercial service plus some portion of any extraordinary transportation costs. |
|
| Please detail your proposed income budget, in U.S. Dollars, for the operation, including the amount that each operator will contribute to the total. If expenses exceed income, we assume that the DXpedition operators will make up the difference: |
|
|
If you grant application is approved, NCDXF will normally provide an NCDXF
Banner and NCDXF T-shirts for the DXpedition. Please confirm whether you want
these items. If yes, please include T-shirt quantities and sizes (choices are
Medium, Large, X-Large, XX-Large, and XXX-Large). |
|
| What grant amount, in U.S. Dollars, are you requesting from the NCDXF? |
|
| Please explain any special circumstances we should understand to properly evaluate your application: |
|
| If grant is awarded, do you give NCDXF permission to annouce this publicly? |
Yes
No |
| A "No" selection means that NCDXF will keep details of your operation in confidence. HOWEVER, NCDXF will announce the awarding of your grant (if awarded) when any of the following occur: 1) you or your team announce the operation to the media; 2) you or your team specifically authorize the announcement; or 3) the first QSO is made while the operation is under way. |
In applying for a grant from the NCDXF, you agree to abide by the following Terms and Conditions:
1. All QSLs sent directly with a proper SASE and sufficient postage
or funds will be responded to directly. This includes cards sent
via commercial QSL services. All other QSLs will be responded
to, but may be sent via the bureau.
2. The NCDXF logo (available here on the NCDXF website) will be
prominently displayed on the QSL cards.
3. NCDXF stuffers (provided by NCDXF) will be included
with outgoing direct QSL cards.
4. Applicant needs to confirm that supporting
documentation exists (licenses, landing permission, etc.) and
that it will be made available to NCDXF if requested.
5. The DXpedition will provide an article for the NCDXF newsletter within 90 days of concluding the DXpedition. If feasible, the DXpedition will also provide three copies of a video in DVD format of the operation to the NCDXF for use in its lending library.
6. The DXpedition is required to upload all QSOs to the ARRL Logbook of the World (LOTW) no later than 12 months after the date of contact.
7. NCDXF shall have no responsibility for and no liability arising from any activity that results from the funding of this application. You agree to indemnify and hold harmless the NCDXF for any claims arising from such activity.
On pressing the 'Submit Application' button below, you are indicating that you have read and accept the guidelines above. |
| |
|
|
You should receive an email acknowledgement of your application on submission. |
