DXpedition Callsign (if known):
Proposed Destination(s):
* Required Input
Date(s) of Operation & Duration (How Many Days?):
* Required Input
Applicant's Callsign:
* Required Input
Name:
* Required Input
Date of Application: Please try to submit your application at least 60 days prior to your DXpedition start date.
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.
What grant amount, in U.S. Dollars, are you requesting from the NCDXF?
Is landing permission(s) needed?
If “yes”, has landing permission(s) been
granted?
Has operating permission(s) been granted?
Applicant needs to confirm that supporting
documentation exists and will be made available to NCDXF if requested.
Modes of Operation:
Bands of Operation:
QSL Manager Name:
QSL Manager Callsign:
QSL Manager Mailing Address:
What is the minimum amount (in US $) that you will you charge for an OQRS direct QSL card confirmation -- and exactly what will that fee cover?
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:
If your grant application is approved, NCDXF will normally provide an NCDXF
Banner and NCDXF T-shirts for the DXpedition Operators. 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). Please let us know exactly where to send the Banner and/or T-shirts: Name, Full Address, email address, etc.
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?
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. The NCDXF logo (available here on the NCDXF website) will be
prominently displayed on the QSL cards.
2. Applicant needs to confirm that supporting
documentation exists (licenses, landing permission, etc.) and
that it will be made available to NCDXF if requested.
3. The DXpedition will provide an article for the NCDXF newsletter and at least three sample QSL cards 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.
4. 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.
5. 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.
