Application for 2015 - 2016 AAPS Visiting Scientist Program Funding
Only one application can be submitted for each school/student chapter per academic year.
Return this form to Stacey May via email at MayS@aaps.org
Name of School:
Topics of interest:
1.
(list up to 3; see appendix)
2.
Contact Information
First Name:
Organization/University:
Address:
M.I.:
City:
Last Name:
State:
E-mail Address:
@
.
3.
Zip Code (plus 4 if available):
-
Telephone Number:
Program Information
The objectives of the Visiting Scientist Program are designed to provide a solid educational resource;
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Expose students to research in the pharmaceutical sciences and encourage them to consider pursuing
graduate study and an advanced degree.
Expose students to career opportunities in the pharmaceutical industry.
Provide colleges and their faculty with access to industry scientists with working expertise.
Increase communications and foster information exchange between academia, industry scientists, and
students.
Convey to students and faculty the complexities, challenges, and costs associated with drug discovery,
development, production, quality control, and marketing.
Applications will be judged based on the program description, involvement of both undergraduate and graduate
students, postdoctoral fellows and junior faculty, a list of potential speakers and a brief statement of limited
funding to support such a program. No chapter will be eligible for funding if the chapter has received a funding
within the AAPS fiscal year (October 1, 2015 – September 30, 2016).
The award will cover only incurred expenses (e.g., coach class airfare, hotel for up to 2 nights, taxi, and light
meals during travel) up to $1,500 for Student Chapters in North America or $2,000 for International Chapters.
Honorariums and food for group functions will not be covered. The speaker is expected to spend one full day at
the university. At a minimum, the speaker will give a 1 hr seminar and meet with students (both graduate and
undergraduate), postdoctoral fellows and junior faculty for a minimum of 3 hrs.
Applications are due by January 15, 2016. Awards will be announced on January 29, 2016. Only AAPS
Student Chapters are eligible for this funding. AAPS can assist in contacting the speaker, but the student chapter
will be responsible for arranging the visit once the funding has been awarded. The seminar and submission of
reimbursement form must be completed by September 1, 2016 or the award is forfeited.
Return this form to Mary Jo Bean via email at BeanM@aaps.org
School Demographics
1. How large is the College/University? Estimated Number of students_______________
2. Is there a program in Pharmacy, Pharmaceutical Sciences or Pharmacology? (graduate or
undergraduate?)
Yes
No
a. If yes, how large is the program in Pharmacy, Pharmaceutical Sciences or Pharmacology?
i. Estimated Number of undergraduates
__________
ii. Estimated Number of Pharm D students
__________
iii. Estimated Number of graduate students (PhD/MS) __________
3. Is this an AAPS Student Chapter? (graduate / undergraduate)
Yes
No
4. Does the College have a Women in Science or Minority Recruitment program?
Yes
No
5. Potential # of undergraduate attendees?
6. Potential # of graduate student attendees?
7. Potential number of postdoctoral fellow/junior faculty attendees?
8. Potential # of junior faculty interested in meeting with speaker?
Provide a general outline of the itinerary, including seminar times, meetings with students, postdoctoral fellows
and/or junior faculty. The visiting scientist is expected to spend the good portion of an entire workday visiting
the School.
Provide details about the specific topic(s) of interest and why you are applying for support by this program (500
words maximum)
Provide a list of potential speakers (no more than 3)
DO NOT CONTACT ANY SPEAKER UNTIL THE APPLICATION HAS BEEN FUNDED.
Name
Affiliation
Address
Email
AAPS
AAPS section
member
Yes
No
Yes
No
Yes
No
Return this form to Mary Jo Bean via email at BeanM@aaps.org
Return this form to Mary Jo Bean via email at BeanM@aaps.org