Research Fellowships Scheme Application Form
To be completed (5 pages maximum) and submitted by 27 June 2016 to queries should be directed to:
Kerry Jaeger
Director, Office of the DVC (Research)
E
T(+618) 8313 7568
*Indicates Required Information
Personal Details
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Employee Type:*☐Staff ☐Titleholder ☐External ☐Recent Adelaide Graduate
Application Details
Rationale for Application*
A summary of the rationale for the application. This may include, for example, a brief description of your current situation, your reasons for seeking fellowship support at the University of Adelaide and your current links to the University. You may provide any additional information pertinent to your application that provides general context for the selection panel.
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Extenuating Circumstances Relevant to Application
(Only if applicable)
An outline of any extenuating circumstances relevant to your application that the selection committee needs to know. This might include career interruptions and other factors that have impacted on your career progression.
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Research and Innovation Plan*
A research and innovation plan describing the way in which the award will support the University’s research strategy,Adelaide Research for Impact. This should include a description of the project aims, objectives, timelines and anticipated outcomes.
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Career Development Statement*
A career development statement or professional development plan. This may include your future plan for development, applications for future funding, training needs etc.
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Leveraged Support / Co-Investment
A summary of leveraged support and/or co-investmentif available.
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Referee Contact Details
Referee 1
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Referee 2
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Referee 3 (Independent Expert)
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Attachments
Attachment (1) *
Curriculum Vitae
Acurriculum vitaeof no more than 5 pages including h-index, ten best publications, the nature and duration of current internal salary support (if any), external funding track record, HDR completions and any high-quality innovation and commercialisation outcomes.Apart from the ten best publications, the candidate’s list of publications should be confined to 2011 – present.
Describe Attachment (2)
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Describe Attachment (3)
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Describe Attachment (4)
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