The ICGEB SMART Fellowship programme promotes the mobility of researchers between ICGEB Member States* as a way of enhancing skill development, acquisition of specific hands-on training in new technologies and increasing cooperation in science and technology.

Closing Dates for Applications: 31 March, 30 June, 30 September, 31 December

Application Form

Surname:
First Name:
Mailing Address (for courier delivery):
E-mail:
Tel: / Fax:
Date of Birth (dd/mm/yy): / Age: / Sex: M F
Place of Birth: / Nationality:

Project title:

Fellowship duration and proposed starting date:

Duration (3 to 9 months max) / Starting date

For internal use only

Application Number:
(assigned by ICGEB) / Date of receipt:

*Afghanistan, Algeria, Argentina, Bangladesh, Bhutan, Bosnia and Herzegovina, Brazil, Bulgaria, Burkina Faso, Burundi, Cameroon, Chile, China, Colombia, Costa Rica, Côte d’Ivoire, Croatia, Cuba, Ecuador, Egypt, Eritrea, FYR Macedonia, Hungary, India, Iran, Iraq, Italy, Jordan, Kenya, Kuwait, Kyrgyzstan, Liberia, Libya, Malaysia, Mauritius, Mexico, Montenegro, Morocco, Namibia, Nigeria, Pakistan, Panama, Peru, Qatar, Romania, Russian Federation, Saudi Arabia, Senegal, Serbia, Slovakia, Slovenia, South Africa, Sri Lanka, Sudan, Syrian Arab Republic, Trinidad and Tobago, Tunisia, Turkey, United Arab Emirates, United Republic of Tanzania, Uruguay, Venezuela, Vietnam

PART 1 – TO BE COMPLETED BY THE APPLICANT

For our records, please indicate the scientific field in which you work. (Please tick one box only)
Basic Sciences
Human Health / Industrial and agricultural biotechnology
Environmental bioremediation
PERSONAL INFORMATION
Please remember to attach a photo of yourself as a separate JPEG file and copy of your passport, even if expired. Only the page with personal details is required. In completing this form, please provide your surname and name exactly as they are indicated in your passport.
Gender male female
Date of birth:
Place of birth (country):
Nationality: / Passport Number:
Date of issue:
Place of issue:
Date of expiry:
ACADEMIC / PROFESSIONAL INFORMATION
Degree Awarded / Year / Field/Discipline / University
Are you registered for PhD degree at your home laboratory:
Registration starting date: / (Yes or No)
(DD/MM/YYYY)
Present employment
Name and address of employer / Position / From – To
Field of specialization
Honors / awards / scholarships received, if any:
Applicant’s 5 most recent and important publications (also enclose curriculum vitae and full list of publications, in English, with this application)
1.
2.
3.
4.
5.
RECEIVING LABORATORY INFORMATION
Name and mailing address of laboratory to be visited:
Phone: / Fax:
Name of the head of the receiving laboratory to whom a copy of this application will be sent:
E-mail:
Previous visits to the receiving laboratory (give dates and purpose)
Details concerning the visit for which the applicant is requesting support
Length of stay
(min. 3 and max 9 months) / Expected date of arrival in host country / Expected date of return to home country
PROJECT INFORMATION
Project Title
Purpose of the visit and brief outline Research Project
(Define specific research activities to be pursued during the project period and provide a comprehensive description of the techniques to be used and the advantages of the suggested methodological approach. Please include any selected relevant references. Maximum 5 pages, including references)
Timetable
Facilities available in the receiving institution
(Provide a detailed list of the infrastructure and equipment available and necessary for the proposed research)
Reasons for selecting this particular hosting laboratory for this fellowship
SIGNATURE OF THE APPLICANT:
Signature Place Date
N.B. Please note that unsigned applications cannot be accepted.
REFERENCES
Name and contact details of two (2) referees who can provide a letter of reference on your behalf. At least one of these should be a member of the University or College you attended most recently. Please request referees to send their letters by e-mail to by the application closing date. The subject of the e-mail should be: “The Arturo Falaschi ICGEB SMART Fellowship Programme” followed by your name.
Please do not attach the reference letters to the application.
Referee 1 / Referee 2
PART 2 – TO BE COMPLETED BY THE APPLICANT’S HOME LABORATORY
NAME AND POSITION OF THE HEAD OF THE HOME LABORATORY
Statement in support of the applicant’s visit
We hereby confirm that the statements made by the applicant are correct and that he/she is authorized to apply for an ICGEB SMART Fellowship, which will be necessary to carry out the proposed research.
Brief outline of the expected benefits from this training activity:
SIGNATURE OF THE HEAD OF HOME LABORATORY:
Signature Date
N.B. Please note that unsigned applications cannot be accepted.

PART 3 - TO BE COMPLETED BY THE HEAD OF RECEIVING LABORATORY

RECEIVING LABORATORY INFORMATION
Name and mailing address: / Phone:
Fax:
E-mail:
Web page:
Name/position of head of the receiving laboratory:
E-mail:
Name of prospective supervisor:
E-mail: / Name of prospective visitor:
Facilities made available at the host institution
(The receiving Institution is expected to provide all necessary research facilities and laboratory consumables to enable the agreed research training programme to be effective)
Additional support offered locally (if available):
Statement in support of the application including potential value to the host laboratory
SIGNATURE OF THE HEAD OF THE RECEIVING LABORATORY:
Signature Date
N.B. Please note that unsigned applications cannot be accepted.
NAME AND SIGNATURE OF THE LEGAL REPRESENTATIVE OF THE HOST INSTITUTION:
We hereby confirm that in case of award this Institution will make the bench fees assigned by ICGEB to this ICGEB SMART Fellowship immediately available for the Fellow and free from any administrative overheads.
A pro-forma invoice will be provided in order to receive the bench fee payment.
Name: Signature Date
N.B. Please note that unsigned applications cannot be accepted.

ATTACHMENTS

Checklist: Please ensure that ALL relevant attachments are included with the completed application form
The completed application form
Copy of passport, even if expired. Only the page with personal details is required
Applicant’s CV and publications list (in English)
Curriculum Vitae of the Head of the Receiving Laboratory and complete list of publications (in English). Please do not send papers

Application guidelines

Purpose / The programme promotes the mobility of researchers between ICGEB Member States as a way of enhancing skill development, acquisition of specific hands-on training in technologies available in the receiving laboratory and increasing bilateral cooperation in science and technology, and should show clear evidence of strong collaboration between the two laboratories.
Applicants should focus on the impact for the fellow’s career, the benefit to the applicant’s home laboratory and the suitability of the receiving laboratory.
Subject Area / Applications are welcome in any area of the Life Sciences.
Eligibility / ·  The call is open to nationals of ICGEB Member States and provides fellowships to scientists in the early stage of their career wishing to spend between 3 and 9 months at a research institution in an ICGEB Member State other than their own.
·  Fellowships for mobility support to laboratories located in Italy, India and South Africa can be considered if the research activity proposed is not covered by one of the ICGEB laboratories (please see ICGEB Arturo Falaschi Short-term fellowships).
·  There is no age limit. However, preference is given to young scientists at the beginning of their research career.
·  Applicants should be either registered for a PhD or have obtained their PhD degree within the last 5 years. Young scientists holding an MSc or equivalent can apply.
·  SMART Fellowships support mobility between laboratories located in Member States.
·  Awards are not intended to prolong visits begun under other auspices; to support participation in courses, workshops or symposia or as bridging fellowships between, or prior to, long term stays funded by ICGEB or other organizations.
Terms and Benefits / ·  Awards are for a minimum of 3 to a maximum of 9 months. The fellowship covers international economy return travel, health insurance plus subsistence of the fellow only. The stipend ranges from US$ 800 to 1,500 per month according to local conditions in the receiving country and seniority of the applicant. Additionally, a US$ 500 monthly bench fee can be paid directly to the receiving laboratory based on the recommendation of the ICGEB Fellowships Committee.
·  The fellowship stipend will be paid by bank transfer directly to the fellow’s bank account. Upon joining the receiving laboratory, ICGEB will transfer the bench fee allocation to the receiving laboratory, which will be responsible for the management of the funds and the certification of expenditures to ICGEB. The receiving laboratory is expected ensure that adequate provisions are in place for the specific research project and to make the bench fee allocation available to the ICGEB SMART Fellow immediately, free from any administrative overhead costs.
ICGEB makes no financial provision, nor can it provide administrative support for family members of participants in the programme.
Bench fee / The bench fee allowance paid in the framework of the ICGEB SMART fellowship is a contribution to the implementation of the research project proposal presented by the candidate.
The receiving laboratory is expected to use the entire bench fee allocation to the benefit of the approved research-training programme. Any unspent balance left will have to be returned to ICGEB.
Funds can only be used to cover the purchase of laboratory consumables that that are directly related to the SMART Fellow’s research activities including:
·  general labware, cryoware, glassware and plasticware
·  chemicals and reagents
·  cell culture consumables
·  pipettes and pipette tips
·  microplates
·  PCR and qPCR consumables
The following items are not considered eligible costs:
·  Costs of maintenance, repair, running or insurance of existing assets belonging to the Host Institute
·  Purchase of equipment, office furniture or fittings
·  Computer hardware or software
·  Office stationary
·  Travel costs
·  Literature
·  Administrative costs and overhead expenses of the Institute
·  Bank charges
Selection / ·  The ICGEB Fellowships Selection Committee will evaluate complete applications received by the closing date. The candidates will be notified of the outcome by e-mail as soon as possible following the closing date for applications.
·  The main criteria for selection include scientific excellence of the project, the qualities of the candidate’s CV and the impact on the his/her career, the potential benefit for the home and the host country, competence, skills and equipment available in the receiving laboratory. ICGEB will positively value any additional support provided by the receiving institute to the fellow’s living expenses (i.e. a direct contribution for living expenses, guest house accommodation, etc.)
Submission / Please complete the application form in all parts and return this form, by email, together with all attachments to:
ICGEB Fellowships Unit
Att: Barbara Argenti, ICGEB, Padriciano 99, I-34149 Trieste, Italy
E-mail: , Tel: +39-040-3757382, Fax: +39-040-226555
Final report / Successful candidate will jointly prepare a final scientific report with the host supervisor highlighting the achievements attained during the period of the Fellowship.
The host Institute will submit a signed financial statement reporting the expenditure covered by the bench fee allowance received.

Revised: 18/09/2017_BA

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