MSc 2 fast-track to PhD, PhD 1-4 Students
Application submission deadline: May 23rd, 2018 at 4pm
Surname / Given Names / McGill I.D. / TitleMr. Ms.
Citizenship
Department: / Program of Study: / select program of studyPhDMSc / year in program1234 / Start Date of program:
Contact Info / Mailing Address
Home Phone
McGill Phone
McGill Email
Descriptors
Provide up to 5 keywords, separated by a comma, to describe this research project.
Project Title
Primary Supervisor / Surname / Given Names / Department
Secondary
Supervisor
(if applicable) / Surname / Given Names / Department
Primary Supervisor Contact Info / Mailing Address
Phone
Fax
McGill Email
Sponsors
Indicate the persons providing a letter of support. One letter should be from the applicant’s supervisor and the other from someone other than the applicant's current supervisor/s must be included with the application.
Name / Relationship to Candidate / Current Position Held / Institution
Internal Studentships are tenable for one year starting September 1. The Faculty of Medicine contribution for an MSc student is $10,000 and for a PhD student is $12,000. Supervisors are expected to supplement funded applicants with a minimum contribution of $8,000. (Please note: this does not apply to the Alma Mater and Friends of McGill Fellowships).
Signatures
Applicant / Primary Supervisor and
Secondary Supervisor (if applicable) / Department Chair
Name / Name / Name
Date / Date / Date
dd/mm/yyyy / dd/mm/yyyy / dd/mm/yyyy
Lay Summary
Non-technical summary of the applicant’s research, written in simple and clear language suitable for non-experts. (Maximum 15 lines)
Source of Funding
All applicants must apply for funding for which they are eligible. Indicate below funding sources applied to that are tenable in 2018-2019.
Canadian Institutes of Health Research / yes / no / If no, please explain
Fonds de la recherche
en santé du Québec / yes / no / If no, please explain
Other external funding sources / yes / no / If yes, please specify organization name/s and competition date/s
Other internal funding sources
(McGill or Hospital) / yes / no / If yes, please specify organization name/s and competition date/s
What is the current source and duration of applicant’s stipend?
Please identify the agency, amount and duration of the operating grant/s that will support the applicant's research project.
Agency / Amount / Duration
Education
List degrees and diplomas starting with the most recent. mm/yyyy mm/yyyy
Degree / Institute/Country / Department / Supervisor / Start Date / End Date
Honours and Awards
List honours and awards received starting with the most recent. One additional page may be added. mm/yyyy
Type / Organization / Amount / Date
Publications & Presentations
Indicate the total number of publications in each category.
Published or In Press / Submitted
Refereed Papers
Book Chapters
Abstracts & Presentation
In an attachment, list the publications in each of the categories listed above. For each publication, list full authorship as it appears in the original publication, year, title, name and volume of the publication and the first and last page numbers. For publications in press, attach a copy of the letter of acceptance. For publications submitted, indicate to which journal and attach a copy of the cover letter or documentation of receipt from the editor.
Summary of Research Project - This section is to be completed in consultation with applicant’s supervisor(s).
Descriptive summary of the research project including: background information and rationale for the work; hypothesis; specific aims; scientific approach and expected outcomes. This section is to be written insimple non-technical language. Committee members come from varied health sciencedisciplines and may not be an expert in the applicant’s specific field. (Maximum 50 lines)
Training Expectations - This section is to be completed in consultation with the applicant’s supervisor/s.
Provide an overview describing how the expected training will contribute to the applicant’s future research achievements and productivity. (Maximum 50 lines)
McGill University Faculty of Medicine Internal Studentships, April 2016 Competition – Application Form / Page 1 of 5