Postdoctoral Seeding Fellowship

Size: px
Start display at page:

Download "Postdoctoral Seeding Fellowship"

Transcription

1 Faculty of Medicine, Dentistry & Health Sciences Student Affairs Office APPLICATION FORM Postdoctoral Seeding Fellowship SCHOOL OF DENTISTRY Faculty of Medicine, Dentistry and Health Sciences LATE OR INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED CRICOS Provider Number: 00126G

2 IN CONFIDENCE * Please refer to instructions 1 Full Name of Applicant Title Surname Given Names 2 Current Appointment Gender (M/F) 3 Date of Appointment (Format DD MON YYYY) 4 Full Postal Address for Notification (Please advise immediately of any changes to thi dd ) Telephone (including ( ) bil ) Facsimile ( ) 5 Applicants may wish to select an area of research interest in the School of Dentistry available on the web at: or contact Professor Paul Abbott paul.v.abbott@uwa.edu.au to discuss. NAME OF SUPERVISOR AND TITLE OF RESEARCH PROJECT 6 Undergraduate Academic Qualifications (Attach academic transcripts). Year Honours Degree 7 Awards, Scholarships or Prizes 2 Postdoctoral Seeding Fellowship - School of Dentistry 2010

3 8 Postgraduate Qualifications Degree Year Institution where degree awarded 9 Awards, Scholarships or Prizes 10 Career Summary (include relevant positions, further training and Grants or F ll hi h ld) Year Positions held or Study Institution High quality research is a major priority for the School of Dentistry at The University of Western Australia. Our research programmes have national and international links and contribute both to our basic understanding of oral diseases and to applied aspects of their prevention and treatment. There are many research opportunities in this expanding field, both for qualified dentists and for those in the many disciplines associated with the oral health sciences and dental services. To assist you in the preparation of your application, areas of research interest and contacts in the Oral Health Sciences at UWA are available on our website at: Prior to submitting an application, applicants are advised to contact the relevant member of staff of the School of Dentistry to discuss the feasibility of conducting your work within the School research facilities.

4 11 Project Details Please provide a brief summary (non scientific) of your intended area of research. 4 Postdoctoral Seeding Fellowship - School of Dentistry 2010

5 12 Full project description including Aims, Background and Research Plan (Not more than two pages)

6 13 Benefits Please indicate the significance of undertaking your research in the School of Dentistry at The University of Western Australia and describe how your career would benefit from undertaking research in Western Australia. For example - include your career aims, benefits to the School, and commitment to Oral Health Research in Western Australia. 6 Postdoctoral Seeding Fellowship - School of Dentistry 2010

7 14 Publications of Applicant for Consideration of Track Record Please ensure that you list only those papers, articles or abstracts that have been published in refereed journals in the last six years (indicate clearly whether published or in press and include evidence of final acceptance by the editor). Include reviews, book chapters and conference presentations.

8 15 Referee Reports In-Confidence (applicant nominated) First Referee Name Address Telephone ( ) Facsimile ( ) Second Referee Name Address Postcode Telephone ( ) Facsimile ( ) Postcode 16 Signature of Applicant In signing this page, I certify that all details given in this application are correct and I agree to carry out the Fellowship in strict accordance with the current Regulations governing UWA Medical and Dental Research Awards Signature of Applicant Date 8 Postdoctoral Seeding Fellowship - School of Dentistry 2010

9 17 Clearance Requirements Does this project include: (a) Research involving Humans? (b) Experiments on Animals? (c) Other Clearances If Yes to (c), you will be required to sign a statement indicating your awareness of the Guidelines for Laboratory Personnel Working with Carcinogenic or Highly Toxic Chemicals? Have you done this at UWA? If no, then you must submit such a statement with your application. Guidelines are available from: mutagens Enter Yes or N Enter Yes or N Enter Yes or N Enter Yes or No Please Note: This project cannot proceed until ethics clearances have been obtained (d) Ethical Implications of the Project Experiments on Animals/involving Humans 18 Checklist Applicant Name Project Title Six copies of application (one single-sided hard copy & five double-sided hard copies) Academic transcripts Completion of all Sections Yes No Written applications quoting the reference number, personal contact details, qualifications and experience, along with contact details of two referees should be sent to Director, Human Resources, The University of Western Australia, M350, 35 Stirling Highway, Crawley WA 6009 or ed to jobs@uwa.edu.au by the closing date.

10 REFEREE REPORT Applicant s Details Name: Current Institution: Project Title: The Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia N Block, QEII Medical Centre, NEDLANDS, WA Please provide an overall judgement supported by detailed comments similar to a report for an applicant seeking a University appointment. The following points are provided as a guide: 1. Has the candidate shown an originality of approach in his/her published work? 2. Please comment on the standing of the journals in which the applicant s work has appeared. 3. Please comment on the potential benefit of the proposed project to the future career development of the applicant and if possible indicate how the applicant s ability and personal qualities rate in comparison with other research. 10 Postdoctoral Seeding Fellowship - School of Dentistry 2010

11 Referee Details Name: Appointment: Institution Signature Please ensure that the completed report is forwarded to: The Manager (Student Affairs), Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia, N Block, QEII Medical Centre, NEDLANDS, WA 6009 This report can be faxed or ed to: Fax: (08) jan.dunphy@uwa.edu.au Date

12 REFEREE REPORT Applicant s Details Name: Current Institution: Project Title: The Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia N Block, QEII Medical Centre, NEDLANDS, WA Please provide an overall judgement supported by detailed comments similar to a report for an applicant seeking a University appointment. The following points are provided as a guide: 1. Has the candidate shown an originality of approach in his/her published work? 2. Please comment on the standing of the journals in which the applicant s work has appeared. 3. Please comment on the potential benefit of the proposed project to the future career development of the applicant and if possible indicate how the applicant s ability and personal qualities rate in comparison with other research. H 12 Postdoctoral Seeding Fellowship - School of Dentistry 2010

13 Referee Details Name: Appointment: Institution Signature Please ensure that the completed report is forwarded to: The Manager (Student Affairs), Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia, N Block, QEII Medical Centre, NEDLANDS, WA 6009 This report can be faxed or ed to: Fax: (08) jan.dunphy@uwa.edu.au Date

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM READ THESE INSTRUCTIONS BEFORE FILLING IN THE APPLICATION Purpose The University of Florida (UF) Graduate School Doctoral Dissertation Award is a competitive, need based award program to provide final

More information

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities.

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities. 20170112-001 Application Form for International Students EÖTVÖS LORÁND UNIVERSITY FACULTY OF HUMANITIES APPLICATION FORM FOR INTERNATIONAL STUDENTS ACADEMIC YEAR 2017/2018 INTERNATIONAL STUDENT APPLICATION

More information

Address. Zip Code City State Country

Address. Zip Code City State Country Application Form for a Scholarship awarded by the University of Fribourg Academic Year 2012-2013 Reseach Stay at PhD LEVEL / Application Deadline February, 28th 2012 for a stay during Autumn Semester (Term)

More information

PhD project description. <Working title of the dissertation>

PhD project description. <Working title of the dissertation> PhD project description PhD student: University of Agder (UiA) Faculty of Engineering and Science Department

More information

Recognition of Prior Learning

Recognition of Prior Learning Page 1 of 19 Recognition of Prior Learning ACADEMIC POLICY Approved by Academic Council on 25 th April 2012 Version number: v5 Last updated: 25 th April 2012 Page 2 of 19 Policy Title Recognition of Prior

More information

Casual and Temporary Teacher Programs

Casual and Temporary Teacher Programs Guidelines The (TRS) is an initiative of the Casual School Teacher Plan to assist schools which are experiencing difficulty in attracting and engaging suitable relief teachers. Schools may be provided

More information

PATHOLOGY AND LABORATORY MEDICINE GUIDELINES GRADUATE STUDENTS IN RESEARCH-BASED PROGRAMS

PATHOLOGY AND LABORATORY MEDICINE GUIDELINES GRADUATE STUDENTS IN RESEARCH-BASED PROGRAMS PATHOLOGY AND LABORATORY MEDICINE 2014-2015 GUIDELINES GRADUATE STUDENTS IN RESEARCH-BASED PROGRAMS Department of Pathology and Laboratory Medicine Schulich School of Medicine & Dentistry Western University

More information

American College of Emergency Physicians National Emergency Medicine Medical Student Award Nomination Form. Due Date: February 14, 2012

American College of Emergency Physicians National Emergency Medicine Medical Student Award Nomination Form. Due Date: February 14, 2012 Nomination Form Due Date: February 14, 2012 Please follow instructions closely, and make sure you have included all requested information listed on the checklist. Electronic submissions only. Please refrain

More information

Casual, approximately 8 hours per week. Director, CLIPP. Employee Name Signature Date

Casual, approximately 8 hours per week. Director, CLIPP. Employee Name Signature Date Position Title: Faculty and/or School/Section/VCO: Campus: Student Futures Centre for Learning Innovation and Professional Practice (CLIPP) All Classification: HEW 3.1 Employment Mode: Probationary Period:

More information

QUEEN S UNIVERSITY BELFAST SCHOOL OF MEDICINE, DENTISTRY AND BIOMEDICAL SCIENCES ADMISSION POLICY STATEMENT FOR DENTISTRY FOR 2016 ENTRY

QUEEN S UNIVERSITY BELFAST SCHOOL OF MEDICINE, DENTISTRY AND BIOMEDICAL SCIENCES ADMISSION POLICY STATEMENT FOR DENTISTRY FOR 2016 ENTRY FINAL QUEEN S UNIVERSITY BELFAST SCHOOL OF MEDICINE, DENTISTRY AND BIOMEDICAL SCIENCES ADMISSION POLICY STATEMENT FOR DENTISTRY FOR 2016 ENTRY 1. Introduction It is the policy of the University that all

More information

APPLICATION FOR SPD STUDY AWARDS

APPLICATION FOR SPD STUDY AWARDS Eligibility Criteria Applicants must satisfy the following eligibility criteria and conditions: 1. Must be a Singapore Citizen or Singapore Permanent Resident 2. Possess good academic records 3. Satisfy

More information

Application Form Master Course Altervilles First Year M1

Application Form Master Course Altervilles First Year M1 http://altervilles.universite-lyon.fr/ Application Form Master Course Altervilles 2015-2016 First Year M1 Application form to be sent to: christelle.morel.journel@univ-st-etienne.fr harold.mazoyer@sciencespo-lyon.fr

More information

Department of Social Work Master of Social Work Program

Department of Social Work Master of Social Work Program Dear Interested Applicant, Thank you for your interest in the California State University, Dominguez Hills Master of Social Work (MSW) Program. On behalf of the faculty I want you to know that we are very

More information

22264VIC Graduate Certificate in Bereavement Counselling and Intervention. Student Application & Agreement Form

22264VIC Graduate Certificate in Bereavement Counselling and Intervention. Student Application & Agreement Form Graduate Certificate in Bereavement Counselling and Intervention Student Application & Agreement Form Graduate Certificate In Bereavement Student Application & Agreement Form PLEASE PRINT CLEARLY OR TYPE

More information

Northwest Georgia RESA

Northwest Georgia RESA Northwest Georgia RESA Office of Executive Director 3167 Cedartown Hwy SE Rome, GA 30161 (706) 295-6189 Fax: (706) 295-6098 Date of Application: Date Available for Employment: Personal Information Full

More information

Application for admission to an undergraduate course at the National University of Singapore in Academic Year

Application for admission to an undergraduate course at the National University of Singapore in Academic Year You have entered a secured site Application for admission to an undergraduate course at the National University of Singapore in Academic Year 2016-2017 Please check your application carefully before submission.

More information

Birmingham City University BA (Hons) Interior Design

Birmingham City University BA (Hons) Interior Design Birmingham City University BA (Hons) Interior Design Registration Number (Non-Local Higher and Professional Education (Regulation) Ordinance): 251238 Birmingham City University Our Faculty of Arts, Design

More information

APPLICATION FOR ADMISSION 20

APPLICATION FOR ADMISSION 20 Light from Africa - for Humanity Lesedi Lig uit Afrika vir die Mensdom la Afrika - go Batho APPLICATION FOR ADMISSION 20 Please complete this form carefully and return to us by handing it in: Sol Plaatje

More information

ESIC Advt. No. 06/2017, dated WALK IN INTERVIEW ON

ESIC Advt. No. 06/2017, dated WALK IN INTERVIEW ON EMPLOYEES STATE INSURANCE CORPORATION ESIC-PGIMSR & ESIC MEDICAL COLLEGE ESIC Hospital & ODC (EZ) Diamond Harbour Road, P.O. Joka, Kolkata - 700104 Tel No: (033) 24381382, Tel/Fax No: (033) 24381176 E-mail:

More information

SCHOLARSHIPS FOR REFUGEES (Asylum-seekers and Residence Permit International Protection beneficiaries) FOR THE ACADEMIC YEAR 2017/2018 ANNOUNCEMENT

SCHOLARSHIPS FOR REFUGEES (Asylum-seekers and Residence Permit International Protection beneficiaries) FOR THE ACADEMIC YEAR 2017/2018 ANNOUNCEMENT SCHOLARSHIPS FOR REFUGEES (Asylum-seekers and Residence Permit International Protection beneficiaries) FOR THE ACADEMIC YEAR 2017/2018 ANNOUNCEMENT Τhe University of Sheffield International Faculty CITY

More information

Application for Fellowship Theme Year Sephardic Identities, Medieval and Early Modern. Instructions and Checklist

Application for Fellowship Theme Year Sephardic Identities, Medieval and Early Modern. Instructions and Checklist 2018-2019 Theme Year Sephardic Identities, Medieval and Early Modern Instructions and Checklist Please adhere to the following stipulations when applying for the Frankel Institute Fellowship: University

More information

UNIVERSITY OF DAR ES SALAAM VACANCIES

UNIVERSITY OF DAR ES SALAAM VACANCIES UNIVERSITY OF DAR ES SALAAM VACANCIES The University of Dar es salaam invites applications from suitably qualified Tanzanians to be considered for immediate employment to fill the following vacant posts

More information

SCHOLARSHIP APPLICATION FORM

SCHOLARSHIP APPLICATION FORM 2017 APPLICATION FORM CLOSING DATE 31 JULY 2017 Master s reference number IT1674/2005 SCHOLARSHIP APPLICATION FORM The Old Mutual Education Trust provides scholarships for higher education to members and

More information

UNIVERSITY OF NEW BRUNSWICK

UNIVERSITY OF NEW BRUNSWICK UNIVERSITY OF NEW BRUNSWICK FACULTY OF EDUCATION APPLICATION PACKAGE #1 Faculty of Education Admission Advantage (FEAA) For High School Applicants Deadline March 31 st University of PO Box 4400 Tel 506

More information

2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement

2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement 2012 Summer Fellowship in Translational Research & Bioethics Dominique Monlezun, Admissions Committee Coordinator #420 Deming Pavillion~204 S. Saratoga St~ New Orleans, LA 70112 E-Mail dmonlezu@tulane.edu

More information

Rotary Club of Portsmouth

Rotary Club of Portsmouth Rotary Club of Portsmouth Scholarship Application Each year the Rotary Club of Portsmouth seeks scholarship applications from high school seniors scheduled to graduate who will be attending a post secondary

More information

IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE.

IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE. APPLICATION INSTRUCTIONS IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. A STATEMENT ABOUT THE UNCF/MELLON

More information

Application for Admission to Postgraduate Studies

Application for Admission to Postgraduate Studies Ref A Application for Admission to Postgraduate Studies Please read the attached notes before completing the application form Section A Personal Details (Please see notes) Surname / Family name Email Mr

More information

FULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES

FULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES FULBRIGHT MASTER S AND PHD PROGRAM GRANTS APPLICATION FOR STUDY IN THE UNITED STATES ***READ ALL INSTRUCTIONS AND INFORMATION CAREFULLY BEFORE COMPLETING APPLICATION*** ELIGIBILITY Pakistani citizens with

More information

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke Office Use Only Durham, North Carolina Application Fee $30 received Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke BEFORE completing this application,

More information

Guidelines for Completion of an Application for Temporary Licence under Section 24 of the Architects Act R.S.O. 1990

Guidelines for Completion of an Application for Temporary Licence under Section 24 of the Architects Act R.S.O. 1990 Guidelines for Completion of an Application for Temporary Licence under Section 24 of the Architects Act R.S.O. 1990 OAA-12-16 1 INDEX Page Number General... 3 Fees for Temporary Licence... 4 Appendix

More information

Statement on short and medium-term absence(s) from training: Requirements for notification and potential impact on training progression for dentists

Statement on short and medium-term absence(s) from training: Requirements for notification and potential impact on training progression for dentists Statement on short and medium-term absence(s) from training: Requirements for notification and potential impact on training progression for dentists and doctors Definition Time out of training in this

More information

PUBLIC NOTICE Nº 004/2016 POSTDOCTORAL SCHOLARSHIP POSTGRADUATE PROGRAM IN HUMAN MOVEMENT SCIENCES

PUBLIC NOTICE Nº 004/2016 POSTDOCTORAL SCHOLARSHIP POSTGRADUATE PROGRAM IN HUMAN MOVEMENT SCIENCES PUBLIC NOTICE Nº 004/2016 POSTDOCTORAL SCHOLARSHIP POSTGRADUATE PROGRAM IN HUMAN MOVEMENT SCIENCES The Coordinator of the Postgraduate Program in Human Movement Sciences (PPGCMH) of the Centre of Health

More information

Young Women in Public Affairs Award A Zonta International Program, Funded by the Zonta International Foundation

Young Women in Public Affairs Award A Zonta International Program, Funded by the Zonta International Foundation 1 2 Young Women in Public Affairs Award A Zonta International Program, Funded by the Zonta International Foundation General Information The goal of the Zonta International Young Women in Public Affairs

More information

APPLICATION FORM STUDY TOUR MASTER PROGRAMMES

APPLICATION FORM STUDY TOUR MASTER PROGRAMMES Please complete in capital letters Gender: Male Female Family name: Preferred first name: Home University: Country of residence: Date of birth: / / Age: City of birth: Country of birth: Nationality 1:

More information

Sl. No. Name of the Post Pay Band & Grade Pay No. of Post(s) Category

Sl. No. Name of the Post Pay Band & Grade Pay No. of Post(s) Category National Institute of Open Schooling (An autonomous organization under the Deptt. of School Education & Literacy, MHRD Govt. of India) A-24-25, Institutional Area, Sector 62, NOIDA- 201309, Uttar Pradesh

More information

Steps for Thesis / Thematic Paper Process (Master s Degree Program)

Steps for Thesis / Thematic Paper Process (Master s Degree Program) Steps for Thesis / Thematic Paper Process (Master s Degree Program) 1 Student must receive approval from his / her advisor to register for the thesis credit Program Director submits the name of the student

More information

I AKS Research Grant

I AKS Research Grant I. 2013 AKS Research Grant The Graduate School of Korean Studies in the Academy of Korean Studies is a research-oriented graduate institute established in 1980. We specialize in the fields of humanities

More information

INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM

INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM Biographical Data are collected as part of record-keeping requirements and have no bearing on the selection process.

More information

Verification Program Health Authority Abu Dhabi

Verification Program Health Authority Abu Dhabi ONLY COMPLETE FORMS WILL BE ACCEPTED Verification Program Health Authority Abu Dhabi Facility Name (If applicable) PearsonVue Registration ID (if applicable) Personal Details: Please give your name in

More information

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application New York State Association of Agricultural Fairs and New York State Showpeople s Association 2014 Scholarship Application The NYSAAF and NYSSA offer an annual scholarship program which is available to

More information

Cy-Fair College Teacher Preparation and Certification Program Application Form

Cy-Fair College Teacher Preparation and Certification Program Application Form Cy-Fair College Teacher Preparation and Certification Program Application Form Date Name (circle one) Mr. Mrs. Ms. Miss. (Last, First, Middle) Address (Number, Street, Apartment Number) (City, State, Zip)

More information

InCAS. Interactive Computerised Assessment. System

InCAS. Interactive Computerised Assessment. System Interactive Computerised Assessment Administered by: System 015 Carefully follow the instructions in this manual to make sure your assessment process runs smoothly! InCAS Page 1 2015 InCAS Manual If there

More information

Functional Nutrition Application

Functional Nutrition Application 1 Functional Nutrition Application For Fall 2017 Program Description The Functional Nutrition program at PCC Institute for Health Professionals will provide you a solid foundation to start your professional

More information

RECRUITMENT REPRESENTATIVE APPLICATION FORM

RECRUITMENT REPRESENTATIVE APPLICATION FORM RECRUITMENT REPRESENTATIVE APPLICATION FORM RECRUITMENT REPRESENTATIVE APPLICATION PROCESS Thank you for your interest in working with the University of Manitoba. This application is for potential representation

More information

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone: MARQUETTE UNIVERSITY HEALTH CAREERS OPPORTUNITY PROGRAM College Science Enrichment Program (CSEP) & Pre-Enrollment Support Program (PESP) Website: http://www.mu.edu/hcop INSTRUCTIONS: Please type or print

More information

International Application Form

International Application Form International Application Form Please complete ALL sections of this form clearly and accurately. If information is missing, or we cannot read some of the sections we will not be able to process your application.

More information

PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014

PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014 PERSONALIZED MEDICINE FELLOWSHIP APPLICATION Irving Institute for Clinical and Translational Research 2014 Accelerating Discoveries Toward Better Health irvinginstitute.columbia.edu The Personalized Medicine

More information

WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages)

WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages) WASHINGTON STATE TEACHER RENEWAL AND CONTINUING CERTIFICATION WAC 181-79A-250 APPLICATION INSTRUCTIONS (For more information visit our certification website at http://www.k12.wa.us/certification/) Attention:

More information

HONG KONG INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS

HONG KONG INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS HONG KONG INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS AUTHORIZED EMPLOYER INFORMATION UPDATE FORM IMPORTANT: Please read the Notes carefully before completing this Form. Personal Data (Privacy) Ordinance:

More information

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University Petitions will be accepted beginning 60 days before the semester starts for each academic semester. Petitions will

More information

RASHTRASANT TUKADOJI MAHARAJ NAGPUR UNIVERSITY APPLICATION FORM

RASHTRASANT TUKADOJI MAHARAJ NAGPUR UNIVERSITY APPLICATION FORM RASHTRASANT TUKADOJI MAHARAJ NAGPUR UNIVERSITY APPLICATION FORM Advertisement No. P/08/ Advertisement No. R/08 Advertisement No. L/08 Advertisement No. UL/08 Advertisement No. DL/08 Advertisement No. PSO/08

More information

Arizona GEAR UP hiring for Summer Leadership Academy 2017

Arizona GEAR UP hiring for Summer Leadership Academy 2017 GEAR UP Summer Leadership Academy (GUSLA) Arizona GEAR UP hiring for Summer Leadership Academy 2017 NAU/AZ GEAR UP will host a six (6) day summer enrichment experience for GEAR UP students on the NAU Mountain

More information

Application for Postgraduate Studies (Research)

Application for Postgraduate Studies (Research) Application for Postgraduate Studies (Research) Please complete clearly. This form will be photocopied. Applicant Number (for office use only). For office use only: Admissions Office Admissions Tutor Interview

More information

value equivalent 6. Attendance Full-time Part-time Distance learning Mode of attendance 5 days pw n/a n/a

value equivalent 6. Attendance Full-time Part-time Distance learning Mode of attendance 5 days pw n/a n/a PROGRAMME APPROVAL FORM SECTION 1 THE PROGRAMME SPECIFICATION 1. Programme title and designation Orthodontics 2. Final award Award Title Credit ECTS Any special criteria value equivalent MSc Orthodontics

More information

Joint Study Application Japan - Outgoing

Joint Study Application Japan - Outgoing Joint Study Application Japan - Outgoing 1 General Info 1.1 ABOUT THIS PROGRAM Under the specific agreements, the Japanese Partner Institution waives application, admission and tuition fees for students

More information

Enrollment Forms Packet (EFP)

Enrollment Forms Packet (EFP) Enrollment Forms Packet (EFP) Based on r student(s) grade and applicable circumstances, complete one enrollment package and review the information below to determine what should submit for each student

More information

FELLOWSHIP PROGRAM FELLOW APPLICATION

FELLOWSHIP PROGRAM FELLOW APPLICATION FELLOWSHIP PROGRAM 2016 17 FELLOW APPLICATION FELLOWSHIP PROGRAM ABOUT THE PROGRAM The Continuing Care Leadership Coalition (CCLC) Fellowship Program is a health care management experience designed to

More information

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements P.O. Box 4310 Arlington, VA 22204 9998 novac@dstnovac.org Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements In 2017, the

More information

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future! UW-Waukesha Pre-College Program College Bound 2017 Take Charge of Your Future! This is a great program to increase your knowledge on various subjects. Students will be engaged in workshops and hands-on

More information

APPLICATION DEADLINE: 5:00 PM, December 25, 2013

APPLICATION DEADLINE: 5:00 PM, December 25, 2013 FCAST EXCHANGE APPLICATION APPLICATION INSTRUCTIONS GLOBAL UNDERGRADUATE EXCHANGE PROGRAM IN SERBIA 2014-2015 THE GLOBAL UGRAD PROGRAM IS SPONSORED BY THE U.S. DEPARTMENT OF STATE S BUREAU OF EDUCATIONAL

More information

LAKEWOOD HIGH SCHOOL LOCAL SCHOLARSHIP PORTFOLIO CLASS OF

LAKEWOOD HIGH SCHOOL LOCAL SCHOLARSHIP PORTFOLIO CLASS OF LAKEWOOD HIGH SCHOOL LOCAL SCHOLARSHIP PORTFOLIO CLASS OF Insert One Photo Applicant s Name First Middle Last Name of Applicant Birth date: Address: Phone: Age: Post High School Plans College or school

More information

NIH Ruth L. Kirschstein National Research Service Awards for Individual Predoctoral Fellows (Parent F31)

NIH Ruth L. Kirschstein National Research Service Awards for Individual Predoctoral Fellows (Parent F31) General Information: NIH Ruth L. Kirschstein National Research Service Awards for Individual Predoctoral Fellows (Parent F31) Link to Parent F32 Funding Opportunity Announcement (FOA): http://grants1.nih.gov/grants/guide/pa-files/pa-11-113.html

More information

Honors Interdisciplinary Seminar

Honors Interdisciplinary Seminar Honors Interdisciplinary Seminar Course Approval Package For Faculty Your Proposal Has Been Approved By The Burnett Honors College Congratulations on having your Honors Interdisciplinary Seminar proposal

More information

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science Application must be completed in black or blue ink only. STUDENT INFORMATION Name: Social Security # - - First Middle Last Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:

More information

HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN

HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN HIGHLAND HIGH SCHOOL CREDIT FLEXIBILITY PLAN TABLE OF CONTENTS Overview 1 Eligible Credit Flexibility Plans 2 Earned Credit from Credit Flexibility Plans 2 Student Athletes 3 Application Process 3 Final

More information

THIRD YEAR ENROLMENT FORM Bachelor of Arts in the Liberal Arts

THIRD YEAR ENROLMENT FORM Bachelor of Arts in the Liberal Arts THIRD YEAR ENROLMENT FORM Bachelor of Arts in the Liberal Arts *Please return this completed form to the College Office by the date in your Offer Letter.* In order to comply with Commonwealth and reporting

More information

Tenure Track policy. A career path for promising young academics. University Medical Center Groningen (UMCG)

Tenure Track policy. A career path for promising young academics. University Medical Center Groningen (UMCG) Tenure Track policy A career path for promising young academics University Medical Center Groningen (UMCG) October 2014 Table of contents Introduction Chapter 1: Chapter 2: Chapter 3: Chapter 4: Introduction,

More information

School of Basic Biomedical Sciences College of Medicine. M.D./Ph.D PROGRAM ACADEMIC POLICIES AND PROCEDURES

School of Basic Biomedical Sciences College of Medicine. M.D./Ph.D PROGRAM ACADEMIC POLICIES AND PROCEDURES School of Basic Biomedical Sciences College of Medicine M.D./Ph.D PROGRAM ACADEMIC POLICIES AND PROCEDURES Objective: The combined M.D./Ph.D. program within the College of Medicine at the University of

More information

August 22, Materials are due on the first workday after the deadline.

August 22, Materials are due on the first workday after the deadline. August 22, 2017 Memorandum To: Candidates for Third-Year Comprehensive Review From: Tracey E. Hucks, Provost and Dean of the Faculty Subject: Third-year Review Procedures for Spring 2018 The Faculty Handbook

More information

Illinois Grand Assembly - Academic Scholarship Application

Illinois Grand Assembly - Academic Scholarship Application Illinois Grand Assembly - Academic Scholarship Application In this Scholarship Application, The International Order of the Rainbow for Girls in Illinois and Illinois Grand Assembly are used synonymously.

More information

International Undergraduate Application for Admission

International Undergraduate Application for Admission CHECKLIST Application fee: US$30 (required) Completed application form Request academic records International Undergraduate Application for Admission Request exam score reports Copy of passport Completed

More information

Bihar State Milk Co-operative Federation Ltd. - COMFED: P&A: Advertisement No. - 2/2014 Managing Director

Bihar State Milk Co-operative Federation Ltd.   - COMFED: P&A: Advertisement No. - 2/2014 Managing Director Bihar State Milk Co-operative Federation Ltd. Dairy Development Complex; Post :- B.V. College, Patna - 800014 Phone No. - 0612-2228953, 2220387, 2224083; Fax 0612-2228306 Web :- www.sudha.coop; Email:-

More information

MPA Internship Handbook AY

MPA Internship Handbook AY MPA Internship Handbook AY 2017-2018 Introduction The primary purpose of the MPA internship is to provide students with a meaningful experience in which they can apply what they have learned in the classroom

More information

Scholarship Application For current University, Community College or Transfer Students

Scholarship Application For current University, Community College or Transfer Students (AN INSTRUMENTALITY OF THE TOWN OF WESTLAKE) 2014-2015 Scholarship Application For current University, Community College or Transfer Students In 2013 TSHA awarded in excess of $420,000 (market value) scholarships

More information

Information and Instructions

Information and Instructions Application for Admission: Radiation Therapy Certificate Program The University of North Carolina Hospitals Department of Radiation Oncology Information and Instructions 1. Use this application only for

More information

Upward Bound Math & Science Program

Upward Bound Math & Science Program Upward Bound Math & Science Program A College-Prep Program sponsored by Northern Arizona University New for Program Year 2015-2016 Students participate year-round each year beginning in 2016 January May

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Eligibility 1. Am I eligible to apply for the Faculty of Engineering Admission Scheme (FEAS) at the UNSW Faculty of Engineering? You are eligible if you are: An Australian citizen,

More information

APPLICATION FORM KOI 2013: Training Course Road Safety in Asian & Latin American Countries: Principles and Approaches

APPLICATION FORM KOI 2013: Training Course Road Safety in Asian & Latin American Countries: Principles and Approaches APPLICATION FORM KOI 2013: Training Course Road Safety in Asian & Latin American Countries: Principles and Approaches FILL IN THIS FORM IN CLEAR HANDWRITING, IN CAPITAL LETTERS 1. Identity Mr. / Mrs.*:

More information

MASTERS EXTERNSHIP HANDBOOK

MASTERS EXTERNSHIP HANDBOOK MASTERS EXTERNSHIP HANDBOOK Anne Linehan Masters Externship Program Director (802) 831-1338 alinehan@vermontlaw.edu Elijah Gleason Externship Coordinator (802) 831-1243 egleason@vermontlaw.edu Monica Collins

More information

Higher Education / Student Affairs Internship Manual

Higher Education / Student Affairs Internship Manual ELMP 8981 & ELMP 8982 Administrative Internship Higher Education / Student Affairs Internship Manual College of Education & Human Services Department of Education Leadership, Management & Policy Table

More information

ADMISSION OF STUDENTS INFORMATION AND GUIDELINES/PROCEDURE

ADMISSION OF STUDENTS INFORMATION AND GUIDELINES/PROCEDURE ADMISSION OF STUDENTS INFORMATION AND GUIDELINES/PROCEDURE The Catholic University College of Ghana, Fiapre is offering admissions to qualified applicants to read undergraduate and post-graduate Degree/Diploma

More information

Pre-Professional Graduate Certificate Program in. Marriage and Family Therapy 2017/2018

Pre-Professional Graduate Certificate Program in. Marriage and Family Therapy 2017/2018 Pre-Professional Graduate Certificate Program in Marriage and Family Therapy 2017/2018 College of Education College of Family and Consumer Sciences School of Social Work The University of Georgia Revised

More information

APAC Accreditation Summary Assessment Report Department of Psychology, James Cook University

APAC Accreditation Summary Assessment Report Department of Psychology, James Cook University APAC Accreditation Summary Assessment Report Department of Psychology, James Cook University Higher Education Provider James Cook University, Department of Psychology Date of determination 20 December

More information

Submission of a Doctoral Thesis as a Series of Publications

Submission of a Doctoral Thesis as a Series of Publications Submission of a Doctoral Thesis as a Series of Publications In exceptional cases, and on approval by the Faculty Higher Degree Committee, a candidate for the degree of Doctor of Philosophy may submit a

More information

MSW Application Packet

MSW Application Packet Stephen F. Austin State University Master of Social Work Program Accredited by: The Council on Social Work Education MSW Application Packet P. O. Box 6104, SFA Station 420 East Starr Avenue Nacogdoches,

More information

Application for Fellowship Leave

Application for Fellowship Leave PDF Fill-In Form: Type On-Screen, then Print for Signatures and Chair Approvals Brooklyn College (2018-2019 Academic Year) Application for Fellowship Leave Instructions for Applicant: Please complete Sections

More information

Application for Admission

Application for Admission Application for Admission Princeton University The Graduate School Exchange/Visiting Student Scholar Program (nondegree) UPON COMPLETION, PLEASE SEND TO THE GRADUATE ADMISSIONS OFFICE ONE CLIO HALL PRINCETON,

More information

Research Training Program Stipend (Domestic) [RTPSD] 2017 Rules

Research Training Program Stipend (Domestic) [RTPSD] 2017 Rules Research Training Program Stipend (Domestic) [RTPSD] 1. BACKGROUND RTPSD scholarships are awarded to students of exceptional research potential undertaking a Higher Degree by Research (HDR). RTPSDs are

More information

ADULT VOCATIONAL TRAINING PROGRAM APPLICATION

ADULT VOCATIONAL TRAINING PROGRAM APPLICATION Ph: ADULT VOCATIONAL TRAINING PROGRAM APPLICATION Applicant: Enclosed is the application packet you requested for the Adult Vocational Training Program (AVT). If you are a first time applicant, the AVT

More information

P920 Higher Nationals Recognition of Prior Learning

P920 Higher Nationals Recognition of Prior Learning P920 Higher Nationals Recognition of Prior Learning 1. INTRODUCTION 1.1 Peterborough Regional College is committed to ensuring the decision making process and outcomes for admitting students with prior

More information

THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS

THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS eligibility to attempt part 2 Examination and successful completion of the part 2 examination policy FAculty of Clinical Radiology THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS Eligibility

More information

Dear Internship Supervisor:

Dear Internship Supervisor: Dear Internship Supervisor: Thank you for agreeing to supervise the internship of a Hunter College Geography student. I hope that this arrangement will benefit both your organization and our student. Student

More information

Schenectady County Is An Equal Opportunity Employer. Open Competitive Examination

Schenectady County Is An Equal Opportunity Employer. Open Competitive Examination Schenectady County Is An Equal Opportunity Employer Open Competitive Examination Exam Title: Director of Public Works (Town of Rotterdam) Town of Rotterdam The resulting eligible list will be used to fill

More information

U N I V E R S I T E L I B R E D E B R U X E L L E S DEP AR TEM ENT ETUDES ET ET U IAN TS SER VICE D APPU I A LA G E STION DES ENSEIGNEMEN TS (SAGE)

U N I V E R S I T E L I B R E D E B R U X E L L E S DEP AR TEM ENT ETUDES ET ET U IAN TS SER VICE D APPU I A LA G E STION DES ENSEIGNEMEN TS (SAGE) INTERNSHIP AGREEMENT Note: The jury of which the student reports will not allow him to complete his PAE (Student Academic Program) with the internship credits while this student has not passed all the

More information

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014 Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 GRADUATE SCHOOL Empowering Leaders for the

More information

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014 Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 Winter Trimester December 1, 2014 March 13,

More information

HOW TO REQUEST INITIAL ASSESSMENT UNDER IDEA AND/OR SECTION 504 IN ALL SUSPECTED AREAS OF DISABILITY FOR A CHILD WITH DIABETES

HOW TO REQUEST INITIAL ASSESSMENT UNDER IDEA AND/OR SECTION 504 IN ALL SUSPECTED AREAS OF DISABILITY FOR A CHILD WITH DIABETES HOW TO REQUEST INITIAL ASSESSMENT UNDER IDEA AND/OR SECTION 504 IN ALL SUSPECTED AREAS OF DISABILITY FOR A CHILD WITH DIABETES PARENT STEP 1: OBTAIN YOUR CHILD S PHYSICIAN S DIRECTIVE FOR HEALTH CARE Parent

More information

GENERAL INFORMATION STUDIES DEGREE PROGRAMME PERIOD OF EXECUTION SCOPE DESCRIPTION LANGUAGE OF STUDY CODE DEGREE

GENERAL INFORMATION STUDIES DEGREE PROGRAMME PERIOD OF EXECUTION SCOPE DESCRIPTION LANGUAGE OF STUDY CODE DEGREE Curriculum 1 (7) GENERAL INFORMATION DEGREE PROGRAMME PERIOD OF EXECUTION SCOPE DESCRIPTION LANGUAGE OF STUDY CODE DEGREE Master's Degree Programme in Health Care and Social Services Development and Management

More information

Guidelines for the Master s Thesis Project in Biomedicine BIMM60 (30 hp): planning, writing and presentation.

Guidelines for the Master s Thesis Project in Biomedicine BIMM60 (30 hp): planning, writing and presentation. Guidelines for the Master s Thesis Project in Biomedicine BIMM60 (30 hp): planning, writing and presentation. 1. The Master s Thesis Project The Master s Thesis Project is a mandatory course on the Master

More information