Babicki Application Form 2015 - Graduate & Postdoctoral Studies

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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
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