application form - La Trobe University

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LIMS Miller Travelling Fellowship
for Postgraduate Students in the La Trobe Institute for Molecular Sciences
The La Trobe Institute for Molecular Sciences (LIMS) may award LIMS Miller Travelling
Fellowships (up to $2,500) to assist postgraduate students to attend an international conference at
which they are making a presentation or potentially another activity that will strongly support their
research projects. Preference will be given to students in their second or third year. Funds will be
available to support a maximum of one fellowship per candidature. Funds will be distributed on a
competitive basis and will be considered four times per year. (The deadlines for applications are:
Feb 1, May 1, Aug 1, Nov 1.) The travel fund is administered by the School Administration Team
Leader through the Executive Director of LIMS. Some of the fellowships are reserved for students
who are Australian residents or Australian citizens but some are available for international
students.
Postgraduate students should supply information about the proposed use of the Fellowship using
this application form. The Miller Foundation would like to receive a brief acknowledgement from the
recipients with details of the conference they attended and their area of research interest upon
completion of the Fellowship.
Name of Applicant: Click here to enter text.
Student No: Click here to enter text.
Contact Details
Address: Click here to enter text.
Telephone: Click here to enter text.
Email: Click here to enter text.
Enrolled Degree and Year of Commencement: Click here to enter text.
Are you an Australian resident or Australian citizen? Click here to enter text.
Purpose of Application. Name of conference/course, type (poster/talk), and title of presentation
at conference/ nature of participation.
Click here to enter text.
Description of Proposal. Explain your current research activities and how the proposed trip will
contribute to completion of your higher degree work. [1 page]
Click here to enter text.
Previous achievements. List scholarships, awards, commendations, etc. List refereed
publications and conference abstracts. Provide any other evidence that you feel will help
enhance your case. [1 page]
Click here to enter text.
Location(s) and Dates for Conference/ Workshop
Click here to enter text.
Supervisor’s Statement. Provide a brief statement describing why the applicant would benefit
from receipt of a LIMS Miller Travel Award.
Click here to enter text.
I hereby affirm that the applicant is a currently enrolled postgraduate student working under my
supervision, and that the student makes regular contributions to the scientific life of the
Department by attending seminars etc.
Supervisor’s signature
Date
BUDGET (up to $2,500 will be granted upon provision of receipts)
Travel type and costs: Click here to enter text.
Accommodation: Click here to enter text.
Other costs [please specify]: Click here to enter text.
Describe other sources of funding applied for/secured: (Note: If funding is secured for a Bruce
Stone Award, the LIMS Miller Award amount will be up to $2,000).
Amount applied for/secured: Click here to enter text.
SUPPORTING DOCUMENTATION - CHECKLIST:
 Information (eg brochures) describing conference/course (including preliminary program and
registration) and a copy of your abstract.
 Quotes/receipts for travel
 Quotes/receipts/estimates for accommodation
 Report on use of the Travel Fellowship
Applicant’s Signature
Date
Return completed form to the School Administration Team Leader, Denise Strong
<D.Strong@latrobe.edu.au>
Further information is available through your discipline’s Postgraduate Co-ordinator:
Biochemistry:
Dr J Atkins / Dr M Perugini
Chemistry:
Dr A Mechler
Genetics:
Dr A Hart
Pharmacy & Applied Science:
Dr M Angove
********************************************************************************
OFFICE USE ONLY
Application approved/not approved
Signature (Executive Director of LIMS)
Amount:
$
Reimbursement to:
/
Student
Cheque req. no.
OR
Journal no.
Fund
Processed:
Processed:
Miller Travelling Fellowship Report on use of the Travel Fellowship
The La Trobe Institute for Molecular Sciences (LIMS) awards Miller Travelling Fellowships to assist
postgraduate students to attend an international conference at which they are making a
presentation. The Miller Foundation would like to receive a brief acknowledgement from the
recipients with details of the conference they attended and their area of research interest upon
completion of the Fellowship.
Name of Applicant
Contact Details
Address:
Telephone:
Email:
Enrolled Degree:
Nature of Application. Name of conference/course, type (poster/talk), and title of presentation at
conference.
Description of the Benefit you derived from the Travelling Fellowship. Explain you current
research activities and how the trip contributed to your development as a researcher and how it
will help the completion of your higher degree work. [<1 page]
Awardee’s Signature
Date
Please submit the Report within 1 month of returning to Australia to Professor Leann Tilley,
Director of Research, La Trobe Institute for Molecular Science <L.Tilley@latrobe.edu.au>
with a copy to the LIMS Travel Fellowship Co-ordinator – Dr Conor Hogan
<C.Hogan@latrobe.edu.au>
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