Application form for ENETS Centres of Excellence (CoE)
Excellence Academy Fellowship Grant
Please send your grant application to the ENETS Office by 25. January 2015 to
enets.office@charite.de
Personal Data:
Last:
First:
Title:
Gender (m/f):
Date of Birth:
Contact data:
Telephone:
Email:
Work website
Full Address
(work):
Full Address
(private)
Application requirements to be submitted are:
1. CV
Please attach your CV (max 2 pages) to this application form.
2. Track record
(Part 1)
Please enter below your best 5 publications in major international peerreviewed multi-disciplinary scientific journals and/or in the leading
international
peer-reviewed
journals,
peer-reviewed
conferences
proceedings and/or monographs of their respective research fields. Please
add the number of citations (excluding self-citations) they have attracted (if
applicable):
Enter track record for part 1 as mentioned above here (please note, that ENETS may request you
to send publications as a pdf after review):
3. Track record
Please enter below any research monographs and any translations.
(Part 2, if
applicable)
Enter track record for part 2 here:
1
4. Track record
(Part 3, if
applicable)
Please enter invited presentations to peer-reviewed, internationally
established conferences and/or international advanced schools (if
applicable).
Enter track record for part 3 here:
5. Track record
(Part 4, if
applicable)
Please enter any prizes/ awards/ memberships (if applicable).
Enter track record for part 4 here:
Proposal description:
6. Proposal
description
It is suggested that the proposal description should include research
question and aims, background and rationale, Research plan and methods
with material and methods, selection of participants, sample size, data
collection methods, procedures and variables, and planned statistical
analysis, tasks, milestones and timeline, expected results and outcomes,
references. Last but not least, please describe how the project will be of
collaborative nature. (Max 500 words).
Enter proposal description here:
ENETS Office c/o Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum,
Department of Internal Medicine, Division of Hepatology and Gastroenterology,
Augustenburger Platz 1, D-13353 Berlin
enets.office@charite.de, www.enets.org
Continuation for entering proposal description here:
Budget
7. Financial
Please provide financial aspects to the suggested proposal description
description
above.
Please enter financial description here (should you wish to send this as an excel
spreadsheet, please state this here and attach it to the application form as a PDF):
ENETS Office c/o Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum,
Department of Internal Medicine, Division of Hepatology and Gastroenterology,
Augustenburger Platz 1, D-13353 Berlin
enets.office@charite.de, www.enets.org