Alberta/Novartis Translational Research Fund Opportunity

FULL APPLICATION FORM

Application Deadline: June 30, 2015 at 4:00 PM

Please refer to the Alberta/Novartis Translational Research Fund OpportunityProgram Guide2014/2015 and Application Instructions

Alberta/Novartis Translational Research Fund Opportunity

FULL APPLICATION FORM

Application Deadline: June 30, 2015 at 4:00 PM

Please refer to the Alberta/Novartis Translational Research Fund Opportunity Program Guide 2014/2015 and Application Instructions

Section 10: Biographical Sketches.Provide the following information for each of the Principal Applicant and Co-Principal Applicant(s), if applicable listed in Section3. Attach the Principal Applicant first followed by the Co-Principal Applicant(s). A maximum of four pages (excluding this information cover page) may be used per applicant.

NAME and ROLE (Principal Applicant, Co-Principal Applicant) / INSTITUTION/ORGANIZATION AND POSITION TITLE
Complete Mailing Address
EDUCATION / TRAINING / RELEVANT WORK EXPERIENCE (List only work experience relevant to the proposed research activities)
Institution and Location / Degree
(if applicable) / Year / Field of Study

The attached biographical sketch information may not exceed a total of four pages (excluding this information cover page). The additional pages must be completed using 12 point font and margins not less than 0.5 inches. Please Note: Only the first four pages, along with this information cover page, will be included for each biographical sketch.

The following additional information is to be provided according to the following headings:

  1. Personal Statement. Briefly describe why your experience and qualifications make you particularly well-suited for your role (e.g. Principal Applicant, Co-Principal Applicant) in the proposed research activities.
  1. Selected Peer Reviewed Publications. Please limit list to peer-reviewed publications or manuscripts that are published or in-press only. Do not list those that are in preparation or submitted. List only the most recent or relevant publications if space is an issue.
  1. Contributions to your field. This may include presentations, interviews, or publications (newspaper, magazine, peer-reviewed scientific research, etc.).
  1. Other Outputs Relative to the Proposed Research Activities. This may include government reports, clinical practice guidelines, patents, projects taken to commercialization, knowledge exchange activities, etc.
  1. Research Support. List both on going and completed research projects for the last five years. List project title, funding source, period of support, amount funded, and your role in the project (Principal Applicant, Co-Principal Applicant, knowledge/End-User, etc.)

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