MS McLeod Research Fund Medical Postgraduate Scholarship
Application Format
The following information is required, in the listed order.
1.Full name
Family name first, followed by other names
2.Contact details
2.1 Postal address for correspondence
2.2Telephone number during working hours
2.3Email address
3.Date, place and country of birth
4.Australian citizenship and residential status
5.Eligibility
Certified copies of academic records of each tertiary institution attended are required.
6.Proposed course and institution
Details of proposed course to be undertaken and proposed institution of enrolment
7.Outline of research project
This should include:
7.1 Name of CYWHS Department in which the research work will be undertaken
7.2 Title of the research project/s
7.3 An abstract of the research project in lay terms (200 words or less)
7.4 A brief description of the research project (6 pages or less), including research objectives, the significance for paediatric health, research methods, data analysis and interpretation techniques
7.5 Any special facilities required, particularly in regard to equipment and space
7.6 A letter from the Head of the Department concerned, supporting the application, and confirming that the Department can provide appropriate facilities and supervision for the proposed research, should the application be successful.
8.Curriculum Vitae
This should include:
8.1 Education
8.2 Employment
8.3 Awards and Fellowships received
8.4 Completed research projects, including research grant achievement and brief summary of research projects
8.5 Research publications
8.6 Research presentations
9.Referee reports
The applicantmust request reports from three referees (names, addresses, and contact details to be given in the application), on the applicant’s academic abilities and personal suitability to undertake the proposed research, and who may be prepared to evaluate the project proposal.
Reports may be forwarded by the closing datein hard copy to:
Dr Andrea Averis
Director
Research Secretariat
2nd floor, SamuelWayBuilding
Children, Youth and Women’s Health Service
72 King William Road
North Adelaide SA 5006
or emailed as attachments to
10.Other information
The applicant should provide any other information which may help in the assessment of the application.
11.Signature and date
One hard copy of the application is required, and should be sent to:
MS McLeod Medical Postgraduate Scholarship
c/- Research Grants Officer
Research Secretariat,
2nd floor, SamuelWayBuilding,
Children, Youth and Women’s Health Service,
72 King William Road,
NORTH ADELAIDE. SA 5006.
One electronic copy of the application is required, and should be sent to:
By 4.00pm on the closing day: Monday 3November 2008
Late applications will not be accepted.
On behalf of the Trustees of the MS McLeod Research Fund
WCH Foundation Inc.
October 2008