40TH ANNIVERSARY
SCHOLARSHIP PROGRAMME
APPLICATION FORM – G
S
ENERAL TREAM
SECTION ONE: THE APPLICANT
Applicant Name
ADEE Membership Institution
Contact Address
Telephone
Email
Declaration
BY SIGNING THIS APPLICATION FORM I HEREBY ACKNOWLEDGE THE FOLLOWING:
1.
I UNDERSTAND THAT APPLICATION FOR THE ADEE SCHOLARSHIP IS NO
GUARANTEE OF FUNDING
2.
THAT I HAVE BEEN ACCEPTED ON THE STUDY PROGRAMME AND I AM NOT
DEPENDENT ON ADEE FUNDING FOR SAME
3.
I HAVE THE FULL SUPPORT OF MY DEAN AND INSTITUTION
4.
IF SUCCESSFUL I COMMIT TO WRITING A REPORT ON MY EXPERIENCES
WHICH MAY BE PUBLISHED BY ADEE
5.
IF SUCCESSFUL I COMMIT TO PRESENTING A POSTER ON MY STUDY AT AN
ADEE ANNUAL MEETING WITHIN 3 YEARS OF THE AWARD
6.
I WILL ACKNOWLEDGE ADEE AS PROVIDING ME WITH THE SCHOLARSHIP
7.
I AGREE THAT THE DECISION OF THE SCHOLARSHIP COMMITTEE IS FINAL AND
BINDING AND NOT SUBJECT TO APPEAL
Signature
Date
SECTION TWO: ABOUT THE STUDY PROGRAMME
Title of programme of study
(please specific study areas covered,
e.g. online learning, pedagogy etc)
Degree to be awarded (please
detail the award designation, title and
topic)
Institution of study
Method of study (e.g. distance
education, block release, full time, part
time etc.)
Brief summary of the aims and
objectives of the programme as
published by the institution
Details of how the committee
can find out further details of
the programme (direct web links to
programme brochure, course content,
syllabus etc if available)
SECTION THREE: SUPPORTING NARRATIVES
Rationale as to why your feel
this application should be
supported and how your study
will support Dental Education in
your Institution and further
afield (between 250 and 500 words)
Please detail how you have
supported ADEE activities in the
past (between 100 and 250 words)
Please detail how you intend to
utilise the study programme to
promote dental education and
also the work of ADEE (may
include publications, workshops,
posters, etc., 100 and 250 words)
Please detail any further
information you think
appropriate to support your
application (no more than 250
words)
SECTION FOUR: CHECKLIST
Please ensure the following have been emailed to scholarship@adee.org
Item
Fully completed application form
Curriculum Vitae
Signed declaration
Evidence of acceptance on the study programme and cost incurred
Letter of support from your Dean how they see this work to be of benefit
locally as well as at a European level
Any support material you deem appropriate
SECTION FIVE: TIME FRAMES
Date
September
Details
Call for applications issued by ADEE
Friday 16th October at
Closing date for applications
17:00 Irish time
By 30th November
First round evaluations complete and calls for additional information if
required issued to applicants
By 31st January
Final evaluations completed and recommendations report to award
scholarship issued to Executive Committee for approval
By 28th February
Scholarship report reviewed at Executive Committee and awards
granted