Student Fellowships - NIDCD Research Symposium in Clinical Aphasiology The National Institute on Deafness and Other Communicative Disorders (NIDCD) has funded a conference grant to the Clinical Aphasiology Conference, to meet two aims. First, this grant supports a Research Symposium in Clinical Aphasiology (RSCA), embedded in the schedule of the Clinical Aphasiology Conference (CAC). Each year, this Research Symposium is organized around cutting edge theory and data. Second, the grant provides funds for up to 15 students to participate in the RSCA, and by extension, the CAC. Student fellows will be reimbursed up to $1500 for travel and conference expenses. The RSCA also provides a number of special opportunities for student fellows. These include a 'host mentor’ assigned to each individual fellow, a reception with host mentors and other fellows, the RSCA lunch in which fellows have an opportunity to interact with the RSCA keynote speaker, the RSCA poster session where fellows present and discuss their research, and the RSCA mentoring breakfast, in which student fellows interact with seasoned CAC investigators about topics personal and/or professional. Any student who is active in an academic program and who has earned authorship* on a paper to be submitted to the CAC can apply for an NIDCD Student Fellowship, though we will limit the number of fellowships that any single applicant can receive. The RSCA Organizing Committee determines the awardees**. A partial list of criteria for awarding these fellowships includes: preference to first authors, on papers that are most highly rated by the CAC Program committee (which is independent of the RSCA Organizing Committee). Preference is also given to doctoral level students, United States citizens, and members of underrepresented ethnic and racial minorities. Applicants also should note that all NIDCD student fellows will be asked to prepare posters, regardless of their preference for presentation format. These posters will be presented together in a single session and will be posted together in some form on the CAC website, after the meeting. Students who do not want to present in the poster format, or whose coauthors do not agree to have the paper presented in this format, should not apply. There are two parts to the application form. Part 1 is a form on which to provide basic information and assurances. Part 2 asks for a brief written statement. Applicants should read and complete each part carefully, and follow the instructions for submitting them; incomplete applications will not be considered. Please submit this application by January 19, 2015. We look forward to receiving and reviewing your application. Connie A. Tompkins, Ph.D., Head, RSCA Organizing Committee Committee members: Joyce Harris, Ph.D; Argye Hillis, M.D., M.S.; Will Hula, Ph.D.; Diane Kendall, Ph.D., Swathi Kiran, Ph.D.; Lew Shapiro, Ph.D.; Cynthia Thompson, Ph.D.; Heather Harris Wright, Ph.D. *'Earned authorship' denotes a significant and real involvement in the genesis of the research question(s) and/or study conduct and interpretation. ** Committee members recuse themselves from evaluating submissions from their own current or former students. Application for Student Fellowship: 2015 NIDCD Research Symposium in Clinical Aphasiology (Part 1) Return Part 1 by regular mail, FAX 412-383-6555, or via pdf by January 19, 2015 with signatures, to: Connie A. Tompkins, Ph.D., BC-NCD Dept of Communication Science and Disorders University of Pittsburgh 4033 Forbes Tower Pittsburgh, PA 15260 Email: tompkins@pitt.edu Name: _________________________________________________ Address: _______________________________________________ _______________________________________________________ _______________________________________________________ Phone: ______________________Fax: _______________________ E-mail address (mandatory) ________________________________ Authorship on submitted abstract: First Second Other Abstract title: ______________________________________________ Race/ethnicity: ____________________________________________ Career aspiration: __________________________________________ University affiliation: _______________________________________ Degree program: Post-doc PhD Sex: Female Male US Citizenship: Yes No MA/MS BA/BS Have you previously received a Student Fellowship to attend this Research Symposium? Yes No If yes, how many? ________________ SIGNATURES: "I certify that (1) the applicant is currently a student; and (2) the applicant has earned his/her authorship on the submitted abstract." ___________________________________________________________________ Adviser/Department chair Date "If offered a fellowship, (1) I certify that I have all co-authors' permission to present the paper as a poster; (2) I agree to send an electronic copy of the poster to the Chair of the Research Symposium Organizing Committee immediately after the conference; and (3) I agree to complete all evaluation forms pertaining to the experience in a timely manner.” ___________________________________________________________________ Student Fellow Applicant Date Application for Student Fellowship: 2015 NIDCD Research Symposium in Clinical Aphasiology (Part 2) Compose Part 2 yourself and return by January 19, 2015 via e-mail to: Connie A. Tompkins, Ph.D., BC-NCD tompkins@pitt.edu Please include your name, the title of your abstract, and your e-mail address in the text of Part 2. Please send a brief statement (no more than 2 pages) that comments on any or all of the following. Complete sentences not required where lists would suffice. Research interests; research experience and products; how research fits in your career goals; why you want a student fellowship; what you would offer as a student fellow; anything else relevant to your application.