SERIAL NO.
LEAVE BLANK – FOR OFFICE USE ONLY
Field:
No of request:
The Center for Complexity Science
(CCS)
LOI
Date Received:
For Scholarship Application
The Information should be filled in with font – Times New
Roman, size – 12, space between lines – 1.5
1. SCHOLARSHIP APPLICATION FOR:
Date Reviewed:
Board (Initials & Month/Year)
PhD.
Post-Doc
Young Scientist
2. APPLICANT DETAILS (ENGLISH)
3. INSTRUCTOR DETIALS
Last Name
Last Name
First Name
First Name
Personal Present Address
Title
Senior Young Scientist
Address
Address in Israel (if residing abroad)
Tel
Fax
E-Mail
Tel
4. INSTRUCTOR DETIALS (If only one instructor mark NA)
Fax
Last Name
E-Mail
First Name
Title
Current occupation or appointment
Address
Tel
Fax
E-Mail
5. APPLICANT INSTITUTE
6. DEPARTMENT OR EQUIVALENT
Name
Name
Address
Address
7. CURRICULUM VITAE
Use this format only, see example, do not exceed 2 pages
NAME
POSITION TITLE
EDUCATION (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral
training.)
INSTITUTION AND LOCATION
DEGREE
YEAR CONFERRED
FIELD OF STUDY
Tel Aviv University, Tel Aviv
B.Sc
1982
Biological Sciences
Weizmann Institute, Rehovot
M.Sc
1985
Molecular Biology
7 (a). POSITIONS AND HONORS
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PROFESIONAL EXPERIENCE
1981-1982
Undergraduate Research Assistant, Department of Molecular Biology, Tel-Aviv University.
1982-1985
Graduate Student, Department of Genetics, Weizmann Institute.
HONORS AND SERVICE
1978-1982
Joseph C. Wilson Scholar, University of Rochester.
1987
Spencer T. and Ann W. Olin Medical Scientist Fellow, Washington University.
7 (b). SELECTED PEER-REVIEWED PUBLICATIONS (only the past 3 years)
Burke, DT, Carle GF and Olson, MV: Cloning of large segments of exogenous DNA into yeast by means of
artificial chromosome vectors. Science, 2001, 236: 806-812.
Brownstein, BH, Silverman, GA, Little, RD, Burke, DT, Korsmeyer, S, Schlessinger, D and Olson, MV: Isolation of
single-copy human genes from a library of yeast artificial chromosome clones. Science, 2002, 244: 1348-1351.
Riethman, HC, Moysis, R, Meyne, J, Burke, DT and Olson, MV: Cloning human telomere DNA fragments into S.
cerevisiae using artificial chromosome vectors. Proc. Natl. Acad. Sci. USA, 2000, 86: 6240-6244.
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8. ABSTRACT (do not exceed one page)
Please emphasis interdisciplinary work within the institute and also collaboration with other institutes.
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