Latin American Studentship Award Application

Thank you for your interest in the Latin American Studentship Award. Please fill out the required application information below.

PLEASE ENSURE ALL ATTACHMENT FILE NAMES DO NOT CONTAIN SPECIAL CHARACTERS. This includes but is not limited to ! * # ; ? \ / : " < > |.

PLEASE NOTE that you must submit the online application, in one single step; you are not able to save your application and return to it at a future date, rather it must be completed all at one time.

Applicant Details

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

Province/State

Postal Code/Zip

Country

Phone Number

Date of Birth

Citizenship

Education

Degree

Major

University

Start Date

End Date

Transcripts

Academic Award Details (if applicable)

Award Type

Award 1 Type

Award 2 Type

Award 3 Type

Award Date

Award 1 Date

Award 2 Date

Award 3 Date

Proposed Training

Supervisor Information

Supervisor First Name

Supervisor Last Name

Supervisor Position

Supervisor University

Supervisor Department

Supervisor Phone Number

Supervisor Email

Training Location

Training Street Address

Training Street Address 2

Training City

Training Province

Training Postal Code

Research Experience Summary

Prepare a summary (maximum of one page) of your research or related experience, including a list of any research papers/articles you have authored/co-authored. File must be in .pdf format.

Research Summary

Research Proposal Document (to be prepared by the supervisor)

Prepare a research proposal (maximum two pages) of the current state of knowledge related to this project. Identify the particular objectives of this proposal and briefly outline the experimental methods to be used. Highlight the research activities to be undertaken by the applicant. Indicate how this award will benefit (a) the applicant and (b) your research program. File must be in .pdf format.

Title of Proposed Research

Research Proposal Document

Research Funding Activities of the Proposed Supervisor

Prepare a report of research funding which includes the following for each item:

Title of the research project
Funding amount
Whether the funding is "Applied for" or "Received"
The source of funding
The start date and end date

If no funding is available, please upload a summary of your research activities as well as a list of the resources available to this student for the completion of his/her project. File must be in .pdf format.

Research Funding Activities

Experience of the Proposed Supervisor

Prepare a list of trainees/students, including post doctoral fellows, that you have supervised (and are currently supervising) within the last five years.

Provide the following information for each trainee:

Trainee's name
Type of trainee
Period for which trainee was supervised
Trainee degree, year, institution
Research project title
Current position of the trainee

File must be in .pdf format.

Experience of the Proposed Supervisor Document

Publications of the Proposed Supervisor

Prepare a report of the supervisor's publications within the last five years separated into the following categories:

Refereed papers, published or in press
Book chapters, published or in press
Abstracts and presentations, published or in press

File must be in .pdf format.

Publications of the Proposed Supervisor Document

Letter(s) of Support

Letters of support are optional; you may include up to three. Note: All letters must be compiled into one .pdf file. You cannot upload more than one file. Every page must be must be initialed and dated by your supervisor.

Letter(s) of Support

Signature

By checking this box and typing my name, I certify that I am the person accessing this webpage, submitting this form, and that all information on this form is true and correct, and has the approval of my noted supervisor. I also agree that the checkbox and my name typed below are to be used as my electronic signature.

I certify the above information is true and correct and I am the person completing this form

Type Full Name

Please click on the "Submit" button to submit your application for the Latin American Studentship Award. Before submitting, please ensure you have filled out all of the mandatory fields and all attachments are correct.

Upon successful submission you will be directed to a webpage that confirms the successful submission and within a short period of time you will receive an email from the CAG National Office confirming receipt of your submission. If this does not occur, please contact the CAG National Office.

NOTE: Upon submission do not close your browser or use the back button until the Thank you screen appears confirming your submission has gone through. Uploading of large files may take a minute or so.