Faculty of Medicine Roman M. Babicki Fellowship in Medical Research Two fellowships have been endowed by Roman M. Babicki to support doctoral candidates undertaking cancer research in any academic department, provided that their supervisor has a primary appointment in the Faculty of Medicine. Preference will be given to Canadian citizens and Permanent Residents. The awards are made on the recommendation of the Faculty of Medicine in consultation with the Faculty of Graduate and Postdoctoral Studies. AWARD $25,000 for one year. Holders of the award may re-apply for a second year. ELIGIBILITY Candidates must be registered as full-time students in a doctoral program at UBC. Candidates must be in good academic standing, conducting research under the supervision of a UBC faculty member who has a primary appointment in the Faculty of Medicine. Preference will be given to Canadian citizens and Permanent Residents. Candidates cannot have received support from this fund for more than two years. APPLICATION PROCEDURES A completed application consists of: 1. A completed (a) Information form and (b) Application form 2. Post-secondary transcripts from all post-secondary institutions attended Copies of transcripts are accepted, but must be initialed by the candidate’s supervisor. Initialing of official sealed transcripts is not required. 3. Letters of support from two sponsors One letter should be from the proposed or current supervisor of the candidate, and the other from an individual familiar with the candidate’s academic and research abilities. Sponsors should be asked to comment on the candidate’s research potential and achievements, interpersonal skills, academic abilities, and greatest strengths and weaknesses. Email complete PDF applications to med.research@ubc.ca. Paper letters or transcripts can be submitted to: Dr. Wendy Robinson, Assistant Dean, Graduate and Postdoctoral Education c/o Lisa Ritland 317-2194 Health Sciences Mall, Vancouver BC, V6T 1Z3 Please do not use staples. Please refer to the FAQs for specific formatting and submission details. DEADLINE TO APPLY: Tuesday, September 15, 2015 at 4:00PM Please direct any questions about this award to med.research@ubc.ca. Faculty of Medicine Roman M. Babicki Fellowship in Medical Research APPLICATION FORM 2015/2016 Please indicate your program start date (If you have transferred from a Master’s to a PhD program without receiving a Master’s degree, please indicate the start date of your Master’s program). Student Name (Last, First) Start Date (MM/YYYY) Please list all undergraduate and graduate awards or scholarships received or currently holding. Award Name Total Amount Location Award was Held 1 Dates Held (MM/YYYY–MM/YYYY) Faculty of Medicine Roman M. Babicki Fellowship in Medical Research APPLICATION FORM 2015/2016 Please list your research or research-related experiences, starting with the most recent experience. One page maximum. Research Experience Dates (MM/YYYY – MM/YYYY) 2 Faculty of Medicine Roman M. Babicki Fellowship in Medical Research APPLICATION FORM 2015/2016 Please list your journal publications, posters and/or conference presentations below. One page maximum refer to the FAQs for formatting guidelines. 3 Faculty of Medicine Roman M. Babicki Fellowship in Medical Research APPLICATION FORM 2015/2016 Please provide a brief summary (350 words or less) of your proposed or current research project. This summary should be written for a general audience. 4 Faculty of Medicine Roman M. Babicki Fellowship in Medical Research APPLICATION FORM 2015/2016 Please provide a one-page summary of your research project (approximately 700-750 words – see FAQs). 5