Скачать 36.58 Kb.
СодержаниеTitle of Project
An appropriate representative of the institution in which the study will be performed should confirm that the application may be
Summary of research project
ESPEN RESEARCH FELLOWSHIPS 2013 APPLICATION FORM
DEADLINE FOR RECEIPT: 8th March 2013
All parts of the application form MUST BE completed
Full name of applicant:
Qualifications, awarding body and year:
Date of Birth:
Country of Citizenship:
Country of Residence:
Present Position: Supported by:
Telephone No. (+ country code): Fax No.(+ country code):
ESPEN Membership Username: .........., Number:....
(NB: Only ESPEN members may apply. It is sufficient if the project supervisor is an ESPEN member)
Have you previously received an ESPEN Fellowship? (Yes/No)
List of all peer reviewed publications of the applicant:
Place (Institution, Laboratory) in which the study will be performed:
State clearly the reasons for requesting financial support:
Personal Support of Fellow (NB: The Fellowships are NOT for support of other workers):
Materials (Give an itemized breakdown of realistic costs in relation to the protocol outlined):
Travel (Only in connection with pursuit of the project):
Are other research funds being sought for the same project? (YES/NO).
If so, from whom? When will the result be known?
What other facilities are available which make success of the project likely?
The project is accepted by the Ethical Committee or Animal Experimentation Authority of:
(Please provide a copy of the letter of acceptance or licence)
I hereby agree that if I am awarded a Fellowship I will present at the annual meeting of ESPEN the report dealing with the aims and results of this Fellowship within 2 years.
Please submit the COMPLETED form by email by 8th March 2013 to firstname.lastname@example.org
with the subject heading: ESPEN Fellowship Application. You will receive acknowledgement of receipt.
Notes on preparation: No more than 1500 words (including references) OR 1300 words + 2 tables or figures. NB: Do not exceed this limit. Use a type font of 12 point.
Please lay out your application as follows:
Please remember to place your proposal within the framework of its relevance to the scientific basis or practice of clinical nutrition.
NB: FAILURE TO OBSERVE THESE RECOMMENDATIONS WILL RESULT IN THE APPLICATION BEING REJECTED.
Name of Supervisor:
Position and Institution:
Current Grants Held:
Ten Best Peer Reviewed Publications in the last 5 years:
|Application form||Application form|
|Evs volunteer application form||International Summer Film Academy – Application form|
Нгту, на базе «Эрлагол» на Алтае и трехдневный поход в горы с ночевкой в палатках
|1. История становления сети интернет|
Министерстве обороны сша (dod), это агентство затем было переименовано в darpa (Defense Advanced Research Projects Agency). Под эгидой...
|Course Selection Form||Applications form|
|Volunteer exchange form (vef)||Reading test. VII form|