Application Form - European Hydration Institute European Hydration

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European Grants for the Study of Human Hydration
EHI Graduate Research Grants 2015/16
Application Form
Reference number: (to be attached automatically)
Applicant’s name:
Current position:
Personal details
Title:
First Name:
Last Name:
Address:
City:
Post Code:
Country:
Tel:
Fax:
Mobile:
Email:
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Check (x) if you will be registered for a Masters or Doctoral degree on the 1 st October 2015:
Masters: ( )
Doctorate: (
)
Department:
Institution:
Supervisor’s name:
Email:
Contact person to deal with studentship agreement:
Name:
Email:
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Project Title:
Keywords: (maximum of 5)
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Project Outline: (maximum 1000 words)
Background (maximum 250 words).
(Short introduction about the area of interest).
Objective (maximum 150 words).
(State the main study objective, clearly defining the hypothesis or question you want to answer through this research, and any secondary
objectives).
Methodology (maximum 600 words).
(Describe the study design, population, sample size, variables, measurements and statistical analysis plan).
Key references (maximum of 5 key references).
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Budget:
Please detail the concepts and costs to be covered by the EHI grant (up to maximum of 5.000 euros)
Timetable:
Please detail timelines of the study (to be finished on Dec 2016 or before)
Start date:
Completion date:
Ethics Committee approval: Granted Yes/No
If no, has Ethics Committee approval been sought?
Yes/No
Commitment:
I declare that the above information is, to the best of my knowledge, correct.
If this research grant is awarded to me, I will write a report at the end of the research and send it to the EHI. I declare that any
publication arising from the research undertaken under the auspices of this grant will acknowledge the financial support of the
EHI and a courtesy copy of any manuscript accepted for publication will be sent to the EHI. The final report as well as any
manuscripts arising from this research will be endorsed by the Supervisor.
Date:
Signature:
(Electronic signatures are accepted)
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Additional documents required:
Please upload (PDF format):
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A copy of the applicant´s Curriculum Vitae, including degree certificates. (use “ref# CV Applicant your name” to name the
document)
A short Curriculum Vitae of the project Supervisor (use “ref# CV Supervisor your name” to name the document)
The Supervisor Support Form (use “ref# Supervisor Form your name” to name the document)
Application timeframe ends on the 5th of December 2015 at 12 midnight.
Incomplete applications will not be considered.
Processing of your grant application will involve the recording and processing of personal data (such as names, addresses, CVs, etc.). Such data shall be
processed in accordance with the legal requirements on privacy protection in relation to health and personal information that apply in Europe (Regulation
45/2001), where the EHI is located. You are entitled to obtain access to your personal data upon request and to rectify any such data that are inaccurate or
incomplete at the following email address: secretariat@europeanhydrationinstitute.org
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