NDARC Postgraduate Research Scholarships

Applications Form for Funding 2012

1. Applicant Details
1.1 Personal Details
Title
Given Name
Initial
Family Name
Date of Birth
Gender
Work Phone
Fax
Email
Citizenship
1.2 Postal Details
Line 1
Line 2
Line 3
Suburb / Town
State
Postcode
Country
1.3Postal Details (Same as Postal □ tick)
Line 1
Line 2
Line 3
Suburb / Town
State
Postcode
Country
2. Education Records
2.1 Detail Undergraduate Performance
Attach academic transcript(Max. 3,000 characters.)
2.2 Prizes and Awards
List medals and any awards .(Max. 3,000 characters)
2.3 Additional Qualifications
e.g. B.MedSci or MPH. (Where the applicant has completed anadditional degree they should indicate the thesis title and the total amount of research experience gained during the degree) (Max. 3,000 characters)
2.4 Previous Research Experience
Applicants should list other research experience including full or part-time research. Include the total amount of research experience. (Max. 3,000 characters)
3. Employment / Career Records
3.1 Career Chronology From Beginning of Tertiary Studies
Please provide a summary of complete career chronology from beginning of tertiary studies: Include the year, indicate full or part-time (using F/T or P/T), location (Australia or Overseas), Institution and all periods of employment and courses of training or study.
Note: you can add to the number of entries by attaching rows to the table or as attachment.
Year / F/T or P/T / Location / Institution / Employment or Study
e.g. / 2007 / F/T / Australia / UNSW / PhD Commenced
1
2
3
4
5
6
7
8
9
10
11
12
3.2Publications: 2005-2012
Submit as Attachment
List only those items that have been accepted for publication or published and books that have been published or are in press.
a)Refereed journal article
b)Review
c)Book
d)Chapter
e)Any other publication e.g. letter/note, un-refereed journal article, other contribution to a journal, technical reports, commissioned reports etc
f)Conference papers or abstracts
g)Patents
Include the impact factor for all relevant publications.
Maximum character limit of 30,000 is permitted
3.3 Research
Submit as Attachment in required format –Instructions on p.3
Research Project, Aims, Significance, Background and References
The proposed research program, including references, should not exceed 10,000 characters. The proposal should be made up of Aims, Background, Proposed Research Program, a statement concerning the significance of the proposal and References (a few critical references only – journal references, no titles).
Note – If pictures or graphs are included, the maximum page limit in total should be no more than 2.
Maximum character limit of 10,000 is permitted
Instructions on the format of the Research attachment.
The following formatting requirements must be adhered to:
File Name:When saving the document, ensure the file is named by NDARCPhD_Surname (e.g.NDARCPhD_Smith)
Margins:All margins at least 2cm.
Font:Must be Times New Roman and at least 12 point.
Graphics:Colour images and diagrams are permitted, however, you should keep in mind that the electronic file may be printed and photocopied in black and white for distribution to the reviewing panel and there may be some loss of definition in the images.
Labelling Graphs and Images: Labelling of axes of graphs and labelling of parts of images may be in a reduced font. However, the description and/or legends of all graphs and images must comply with the guidelines set out under the heading of ‘Formatting of the PDF file’.
Tables:Tabulated information containing text is not considered to be an image or diagram. Text within tables must comply with the guidelines set out under the heading of ‘Formatting of the PDF file’.
Line spacing:Must be set to single.
Character spacing: Spacing must be set to normal. Scale must be set to 100%.
4. References
Provide the names and contact details of your proposed supervisor and independent referee who will comment on your research contributions and potential as a researcher.
4.1 Proposed Supervisor
Title
Given Name
Initial
Family Name
Department
Institute
Email
4.2Referee 1
Title
Given Name
Initial
Family Name
Department
Institute
Email
4.3 Referee 2
Title
Given Name
Initial
Family Name
Department
Institute
Email
Please submit completed forms to:
Ms Jemma Sale
National Drug and Alcohol Research Centre
University of New South Wales
SYDNEY NSW 2052
Or email as attachment to:

Signature:
Name:
(Print)
Date Submitted:

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