Wellcome Trust Clinical PhD Programme application form

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Africa Centre For Population Health PhD Studentship:
Application Form
1. Name
2. University degrees / diplomas
Degree
Institution
Year
3. Prizes (university level and above)
Prize
Institution
Year
4. Employment history since undergraduate degree award (in reverse chronological
order)
Post
Institution
Dates
5. Intended career pathway
Africa Centre PhD Studentship: Application Form December 2015
page 1 of 3
6. Relevant experience in low- or middle-income country settings (max 300 words)
7. Research training and experience (include any courses or specific training)
Africa Centre PhD Studentship: Application Form December 2015
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8. Publications (only items published or in press: do not include conference
presentations)
9. Please indicate how you heard about this PhD studentship
HAYA website
via University departmental email
Africa Centre website
Other, please specify:
10. Please provide 2 references, using the Reference Form, at least one must be from an
academic referee.
Africa Centre PhD Studentship: Application Form December 2015
page 3 of 3
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