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Latin American Studentship Award Application Form

 

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

Ensure that all documents are submitted in PDF format and contain no special characters in the file name, including punctuation.

NOTE: This online form must be completed in one single session. This form cannot save your information to return to at a later time.

Applicant Details

Contact Information

Please enter the applicant's first name
Please enter the applicant's last name
Please enter the applicant's street address
Please enter the applicant's city
Please enter the applicant's province/state
Please enter valid postal code or zip
Please select applicant's country
Please enter applicant's phone number
Please enter a valid email address
Please select a date
Please enter the applicant's citizenship

Education Information

Please enter applicant's degree
Please enter applicant's major
Please enter applicant's university
Please select a date
Please upload a .PDF file with no special characters in file name

Accademic Award Details (If Applicable)

Proposed Training

Supervisor Information

Please enter supervisor's first name
Please enter supervisor's last name
Please enter supervisor's position
Please enter supervisor's university
Please enter supervisor's department
Please enter supervisor's phone number
Please enter a valid email address

Training Location

Please enter the training location's street address
Please enter the training location city
Please select a province
Please enter the training location 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.

Note: File must be in .PDF format.

Please upload a .PDF file with no special characters in file name

Research Proposal Document (to be prepared by 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.

Note: File must be in .PDF format.

Please enter a title
Please upload a .PDF file with no special characters in file name

Research Funding Activities of the Proposed Supervisor

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

1) Title of the research project

2) Funding amount

3) Whether funding is "Applied for" or "Received"

4) 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.

Note: File must be in .PDF format.

Please upload a .PDF file with no special characters in file name

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:

1) Trainee's name

2) Type of Trainee

3) Period for which Trainee was supervised

4) Trainee degree, year, institution

5) Research project title

6) Current position of the Trainee

Note: File must be in .PDF format.

Please upload a .PDF file with no special characters in file name

Publications of the Proposed Supervisor

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

1) Referred papers, published or in press

2) Book chapters, published or in press

3) Abstracts and presentations, published or in press

Note: File must be in .PDF format.

Please upload a .PDF file with no special characters in file name

Letter(s) of Support

Letters of support are optional. You may include up to three Letters of Support.

All letters must be compiled into one .PDF file. Every page must be must be initialed and dated by your supervisor.

Note: File must be in .PDF format.

Electronic 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 that the above information is true and correct and that I am the person completing this form.

*Only those who agree to the above may submit this form.
Please enter your full name.

Please ensure that all required fields are filled out correctly.

Upon successful submission, you will be redirected to a confirmation webpage and will receive an email from us. If this does not occur, please contact the CAG National Office.

NOTE: Do not close your browser or use the back button until redirected to the "Thank You" screen, confirming successful submission. Uploading large files may take a minute or so.