Scientific Advisory Panel of the PRF
C/O the National Institute for Communicable Diseases
Private Bag X4
Sandringham
2131
PRF POST-DOCTORAL FELLOWSHIP
Closing dates: 28 February; 15 July and 15 October each yearPlease note the following:
· Applications are invited for post-doctoral medical studies in virology to be conducted in South Africa. The Fellowship will be awarded for a one-year period, on a competitive basis, to South Africans or individuals with permanent resident status, as salary for high-level research work in a suitable department, unit or institute of an already identified South African host institution.
· Provide full details of preceding doctoral work and publications; a description of the rationale and methodology of the proposed project (including certified evidence of operational funding, facilities and equipment that will be available outside of the Fellowship award).
· The emphasis in the selection is on the excellence of the academic track record; evidence of unusual creativity and ingenuity in addressing scientific problems; both the novelty AND the feasibility of the proposed approach; and the quality, adequacy and appropriateness of the host environment.
· Applicants must be in possession of either a PhD or MBBCh or BVSc or equivalent doctoral level degree (or written proof from the University that all conditions have been satisfied for the award of the degree at the next graduation ceremony).
· The value of the Fellowship will be R180, 000 if conditions are met, no income tax is payable.
· Please note that all publications emanating from this fellowship will have to acknowledge sponsorship by the Poliomyelitis Research Foundation
· The deadlines for submission of applications must strictly be adhered to. Applications must arrive at the NICD on or before the deadline date. No late applications will be considered
· Ensure that all sections of the form are completed and all requested information attached.
· Application forms must be typed. No hand written applications will be accepted. Please format the document carefully and number all pages
· Please note that because of financial constraints, this category of applications may not be considered for funding.
· E mail complete and signed application to:
THIS SECTION IS TO BE COMPLETED BY THE APPLICANT
GENERAL INFORMATION
Surname:
Name:
Title:
Race:
Gender:
Citizenship / South African citizen / YES / NO
Other (Please provide detail)
Present Institution:
Work Address (FULL postal address):
Telephone:
E-Mail:
Institution name for relevant grant cheque:
Bank detail of relevant institution:
Qualifications:
Present Professional Status:
RELEVANT WORK EXPERIENCE TO DATE
Name of employer/Institution / Capacity and type of work / Period
PLEASE ATTACH TWO-PAGE CV
PROJECT INFORMATION
TITLE OF PROJECT
SCOPE OF THE PROJECT FOR WHICH A GRANT IS REQUESTED (PROPOSED RESEARCH PROGRAM AND PLAN OF APPROACH)
Place where project is to be undertaken
Duration of project (Dates)
Specific Objectives
Preliminary Data
Research plan and methodology
Timelines
Is this your first application to the PRF for a grant?
Have you applied for the same period to any other organisations for any other Post-doc fellowship?
If Yes supply details:.
Name of Organisation / Amount Requested / Request Granted? / If yes, provide details
Have you applied for the same period to any other organisations for grants to finance the proposed project/fellowship?
If Yes supply details:.
Name of Organisation / Amount Requested / Request Granted? / If yes, provide details
Do you currently hold a fellowship? If yes, please provide detail:
BRIEF REVIEW OF PUBLISHED LITERATURE AND RATIONAL TO PROPOSED PROGRAM (MAX 10 REFERENCES)
·
ETHICS COMMITTEE CERTIFICATE (Has this application passed through the Ethics Committee?)
NB: Your application will not be considered unless relevant ethics approval has been accepted
Human / Animal
Approved (Please provide certification number)
Pending
Not Applicable
THIS SECTION IS TO BE COMPLETED BY THE SPONSORING INSTITUTION
GENERAL INFORMATION OF SUPERVISOR/MENTOR
Full name
Institution
Department
Work Address
Telephone
Qualifications
Present Professional Status
PLEASE ATTACH COMPLETE CV
FACILITY
Has the Sponsoring Institute relevant facilities for the support of this proposal – if yes please supply details
·
CHECKLIST: PLEASE COMPLETE/ATTACH
CV (including publications) of applicant / Yes (attached) / No
CV (including publications) of Supervisor/Mentor / Yes (attached) / No
Letter of support from sponsoring mentor / Yes (attached) / No
Application signed? / Yes / No
All information complete and document properly formatted? / Yes / No
Application approved by Research Committee? / Yes / No
Application E-mailed to: ? / Yes / No
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION, ATTACHMENTS AND CORRESPONDENCE ARE CORRECT AND THAT, IF I AM GIVEN A GRANT, I WILL ABIDE BY THE REGULATIONS GOVERNING THE AWARDING OF GRANTS
APPLICANT
Print full name and surname
Date
Place signed at
Signature
SPONSORING INSTITUTION - SUPERVISOR/MENTOR
Print full name and surname
Date
Place signed at
Signature
RECOMMENDATION BY THE RESEARCH COMMITTEE OF SPONSORING INSTITUTION
Recommendation: Approved/not Approved
Print full name and surname
Date
Place signed at
Status/capacity of representative of institution concerned
Signature
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Section E