Summer Research Fellowship Application
Last Name
First Name
Current Address:
Suite No.
Middle Initial
Preferred Name
Street
City
Province
Postal Code
If Current Address is temporary, indicate leaving date:
Permanent Address:
Suite No.
Street
City
Province
Postal Code
Home Telephone No.
E-mail Address (1)
Language of Correspondence:
Cell/Alternate No.
E-mail Address (2)
English
I am a citizen of Canada
French
I am a citizen of
Name of Country
International Students:
If you are not a Canadian citizen, provide
Type of Visa
Expiration Date
Supervisor
Name
Affiliated Institution
Position/Title
Telephone No.
E-mail Address:
Academic Information
Which university are you currently attending?
How many years of university level study will you have competed by the end of this academic year?
Research Fellowship Application Form
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Major(s)
GPA/average
Minor(s), if applicable
Expected Degree
Please send one official transcript requested directly from each university or college
registrar’s office you have attended. Transcripts must be enclosed in a sealed enveloped,
signed by the University Registrar. Signed and sealed transcripts may be included with your
application package or sent separately to OGI by the Registrar’s Office.
Please list the courses you have taken that are most relevant to your proposed research. If you
completed a laboratory component with one of these courses, please indicate so under “Course
Description.”
Title of Course
Course Description
Research Fellowship Application Form
Semester
Hours
Grade Earned
(letter or
grade points)
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Work and/or Research Experience
Position
Description
Duration
Please list your skills or experiences that would be helpful in a research project in the field you
wish to study (i.e., specific lab skills, programming, etc.):
Please list your extracurricular activities, awards and honours, hobbies, interests, etc. (You may
include awards and honours you received while you were in high school):
Please provide other pertinent information you would like the Committee to consider:
Research Fellowship Application Form
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How does your proposed project relate to your professional goals? (Please answer the question
in the space provided.)
References
Applicants must submit two academic references. Reference letters may be sent separately
from the application package. Please provide your referees’ complete contact information
below:
1. Name
Street
City
Province
Postal Code
Province
Postal Code
Telephone No.
2. Name
Street
City
Telephone No.
All the information I have provided on this form is true and complete to the best of my knowledge.
Signature
Date
Research Fellowship Application Form
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Fellowship Research Proposal
Applicant:
Last Name
First Name
Middle Initial
Preferred Name
Project Title:
Supervisor’s Name:
The proposal should include the following sections:



Introduction: The introduction should provide the background and motivation for the
proposed project
Project Description: This section should specifically describe what you would do, how
you plan to do it, and outline the resources you will need
Goals: This section should describe what you expect to accomplish by the end of the
summer and how you will measure your success
The proposal must be typed on a separate page and must NOT be longer than three pages
(plus references). Proposals that exceed this maximum length will not be considered. Please
ensure that your proposal is typed in 12-point font, double spaced, and formatted with one-inch
(1”) margins.
Your supervisor should review your proposal, offer suggestions on technical content and writing
style and approve the final draft. The student MUST write the proposal.
Research Fellowship Application Form
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