| * Name: |
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| * Date of Birth: |
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| * Address: |
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| Address Line 2: |
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| * City: |
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| * State or Province: |
If Other:
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| * Postal Code: |
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| * Country: |
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| * Primary Phone: |
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| * Email Address: |
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| * Grant Year/Date Of Application: |
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| Yes, I am a member of the AAC (membership is not a requirement but is appreciated) |
| Yes, I am a U.S. citizen (applicant must be a U.S. citizen although team members need not be) |
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| * Title of Grant Proposal (if titled): |
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* Humanitarian Objective
(Succinct and concise discussion of importance, need, continuity, 300-400 words)
The humanitarian objective must be reasonable, and sustainable. Objectives that
continue after implementation will receive the highest level of consideration. Focus
the objective to affect the greatest human change.
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* Alpine Objective
(A concise and definitive statement of the objective, purpose, scope etc. 200-300 words)
The alpine objective should focus on climbing and exploration but need not be at
the leading edge of climbing or alpinism.
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| * Team Members (Names, qualifications, experience, etc. 100-200 words): |
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| * Additional Grants or Sponsorships you are applying for: |
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| * required field |
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