Colgate-Palmolive Postdoctoral Fellowship Award

in In Vitro Toxicology

Please use no less than 10 point font, maintain the given margins, and use no more than the specified pages.

Name
Current Address
City/State/Zip
Phone / FAX
E-mail
Institution at which research will be performed
Department
Address
City/State/Zip
Postdoctoral Program Director / Name / Signature / Date
The above signature indicates that the applicant has been accepted into your program or will be accepted if an award is made.
Institutional officer responsible for sponsored research programs at which the postdoctoral training will occur
Title / Name / Signature / Date
Doctoral Institution / Doctoral Advisor
If degree is completed / Degree Awarded / Date Awarded
If degree is in progress / Degree / Anticipated date of dissertation defense

Your complete application will include:

  1. a. This form,
  2. budget sheet (form provided),
  3. description of research to be performed (as pages 3, 4, and 5; this description must not exceed three pages), including specific aims of the research and a description of their relevance to the development of methods involving the reduction, replacement, or refinement of the use of animals,
  4. preliminary data in support of the application may be included as an appendix, and
  5. brief section addressing the career goals of the applicant.
  6. Curriculum vitae (include undergraduate, graduate, and doctoral degree information; graduate appointments; academic awards; professional experience; bibliography; professional memberships).
  7. Reprints of up to three representative publications.
  8. Request that three letters of recommendation be sent by e-mail to using “Col-Pal Fellowship” and your last name in the subject line. The letters should address all requirements mentioned in the award description. One letter is to be from the doctoral advisor, noting anticipated date of dissertation defense or certifying completion of the degree. Another letter is to be from the proposed postdoctoral advisor.

Documents #1-3 above will be uploaded via the Awards site at October 9th of the year preceding the year in which the fellowship is awarded. Send a signed copy of this form (page 1 only) to Colgate-Palmolive Postdoctoral Award, c/o Awards Committee, Society of Toxicology, 1821 Michael Faraday Drive, Suite 300, Reston, VA 20190. This must arrive at SOT within one week (7 days) of the award application.

I have read the stipulations, terms and conditions for the Colgate-Palmolive Fellowship and hereby submit my application to SOT Headquarters.

Signature / Date

Budget Sheet

Colgate-Palmolive Postdoctoral Fellowship Award in In Vitro Toxicology

Please provide all information in no more than one page in 10 point font.

Applicant / Title of Position
Budget period (month/year) / From / To
Salary / From Grantee Institution / From Fellowship Award
Salary
Fringe
TOTAL
Other Sources of Funding for Candidate
Expendable Supplies (list individual items that cost over $100 each)
$
$
$
TOTAL / $
Permanent Equipment (over $500)
Item / Justification / Cost
$
$
TOTAL / $
Travel (include destination and dates)
$
$
TOTAL / $
Other expenses (list individual items)
$
$
TOTAL / $
Total direct costs / $
Indirect costs (not to exceed 8% of total direct costs / $
TOTAL AMOUNT REQUESTED (up to $44,000) / $

Provide an abstract containing a brief description of the project in terms understandable to readers without specialized knowledge in the area of research (maximum length = 200 words).

Add Research Description (no more than 3 pages).

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