NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
For use by graduate students and PDFs
Note: This application form can only be used by trainees who have been invited to apply
by one of the researchers in the IRTG. Applications from trainees who have not been
accepted into one of the IRTG laboratories will not be accepted.
INFORMATION FOR COMPLETION OF APPLICATION
A.
GUIDELINES FOR PARTICIPATION IN THE TRAINING PROGRAM
The NSERC CREATE IRTG in Membrane Biology is an exceptional opportunity for
exceptional students. The goal of the training program is to develop a group of trainees
with specialized skills in membrane biology, combined with the ability to move into the
workplace with talent in communication and research at the international level.
Successful applicants will receive a stipend of $16,900 per year, provided by the
training program for up to three years. Trainees may receive additional stipend support
to bring their support in line with the guidelines of their home university department.
Trainees will participate in the IRTG for three years, whether they receive support
from the IRTG, or from another award. If a student wins a studentship award while holding
an IRTG award, then total funding from IRTG and the additional award may not exceed
$20,000.
Trainees will visit Germany to carry out research in a partner laboratory for 3-6
months, with travel and living expenses paid for by the IRTG.
B.
APPLICATION DEADLINE AND EVALUATION PROCEDURE
Completed application package must be received in 4020 Katz Research Centre by
Tuesday, June 10 2015 at 12:00 noon. Applications will be reviewed by the IRTG’s
Program Advisory Committee. Announcement of successful candidates will be made to
the supervisor and candidate by email in early August. Funding will commence
September 1, 2015.
C.
INSTRUCTIONS FOR COMPLETION OF AN APPLICATION PACKAGE
A complete application package consists of:
Signed and completed IRTG Trainee application form (This form)
Supervisor’s CIHR CV module (common CV and publications last five years)
University transcripts
Letter(s) of recommendation
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NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
IRTG in Membrane Biology, 4020 Katz Research Building
Edmonton, Alberta T6G 2H7
Phone: 780-492-7203 / Fax: 780-492-0886
Email: casey@ualberta.ca
SECTION I PERSONAL DATA
Trainee Name: Surname, First Name,
Middle Initial
Birth date: Year, month, day
Gender: (check)
Female
Lab Phone:
Home Phone:
Male
Email Address:
Type of application (check): Graduate studentship
Postdoctoral fellowship
Name of Proposed Supervisor:
SECTION II: SIGNATURES
Signature of:
Candidate
Printed Name
Date
Supervisor:
Department Head/Chair
Signatures of candidate and supervisor indicate agreement to abide by the guidelines of
the IRTG in Membrane Biology, as outlined on page 7 of this Application form. Failure to
meet these obligations may lead to termination of funding by the IRTG.
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NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
SECTION III DETAILS OF APPLICATION
A. TRAINING PROGRAM
1. Anticipated start and completion dates of enrollment in IRTG in Membrane Biology,
Start Date ___/___
Completion Date ___/___
MO/YR
MO/YR
2. When did you or will you start in the laboratory of the IRTG member?
____/____
MO/YR
3. If applicable, indicate the graduate program and department in which you will register or are currently
registered.
Masters
Ph.D.
Department ________________________
A1 – ACADEMIC RECORD
CANDIDATE’S CURRENT AND COMPLETED UNIVERSITY PROGRAMS
Append all university level transcripts behind this page.
Degree/Diploma/Specialization/Faculty
University/Institution/Country
3
Dates of Enrolment
FROM (Mo/Yr) TO(Mo/Yr)
NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
UNIVERSITY ACADAMIC ACHIEVEMENTS (Prizes, Honors, Awards)
(Additional pages may be appended if necessary)
Prizes/Honors/Awards
Awarded By
Year Won/Held
ACADEMIC INTERRUPTION (Do not exceed the space provided here.)
If there has been an interruption in your academic career, please provide an explanation
indicating the period and reasons for the interruption.
A2 – RESEARCH EXPERIENCE
RELEVANT RESEARCH AND WORK EXPERIENCE
FROM:
TO:
YR.
MO.
YR.
MO.
Position
Insititution/Company/City/Country
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Supervisor’s Name
NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
B. CANDIDATE’S PUBLICATIONS
Provide a list of candidate’s scientific publications, including published abstracts. Attach additional page, if
required.
A3 –LETTERS OF REFERENCE Only one letter of reference is required, which can
be from the present or proposed supervisor. Other letters are optional.
Where appropriate, identify three individuals who have been asked to submit a letter of reference on your
behalf. The proposed supervisor may be one of the three.
Name
Institution/Organization
Telephone Number
______ ______ ______
______ ______ ______
______ ______ ______
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NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
SUPERVISOR TO DISCUSS RELEVANCE TO THE TRAINING PROGRAM
Please discuss the relevance of the project to the program. You may include a discussion
of the collaborative nature of the project with our German partners.
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NSERC-CREATE International Research Training Group in
Membrane Biology
Trainee Application Form 2015
Section III Guidelines and Expectations of Trainees
Trainees enrolled in the IRTG will have exciting opportunities and experiences available
to them. With these benefits come expectations that need to be met, for the student’s
training and the program itself to be successful. If the trainee is accepted into the
program then the obligations below need to be fulfilled. If these are not met, then the
student’s stipend and or enrollment in the IRTG may be withdrawn at the discretion of the
IRTG’s Program Advisory Committee (PAC).
1. Trainee will complete an annual evaluation form, provided by the PAC.
2. Once enrolled in the IRTG, the student will complete three years of active participation
in the program, regardless of the student’s source of stipend support.
3. The trainee will annually apply to at least one external agency for stipend support. Proof
of application will be supplied as part of the annual report. If the trainee is successful in
attracting external support, then the value of the external award will be subtracted from
the stipend provided by the IRTG so total funding does not exceed $20,000. The student
will continue to be a member of the IRTG including all benefits and expectations, even if
stipend support comes from another source.
4. Trainee will make strong efforts to attend all IRTG events, including annual meetings
in Canada, and or Germany as directed by the PAC. Other activities will include seminars
by visiting speakers, weekly IRTG (MPDRG) meetings and the IRTG/Membranes journal
club.
5. Trainee will attend industrial visits arranged in Canada and Germany.
6. Trainee will endeavor to complete productive research and publish this research as
abstracts and research papers.
7. Trainee will annually present: i) An oral research presentation at the weekly IRTG
(MPDRG) meeting, ii) a presentation in the IRTG Journal Club, iii) poster or oral
presentation at an international meeting.
8. Trainee will complete a 3-6 month research experience in the laboratory of a German
IRTG partner some time during the three year IRTG training period. As part of the
experience, the trainee will complete a written proposal prior to the trip and complete a
final report following the trip.
9. Upon completion of the training program, the trainee will complete an exit evaluation
survey, provided by the PAC.
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