APPLICATION FOR THE 2015/16 CARTA PHD FELLOWSHIPS
INSTRUCTIONS
Please read all the instructions carefully and complete all sections.
Note to applicant: This application form will be used for the institutional selection process. If
you are successful at the institutional level, you are encouraged to submit a revised
application for the final selection.
1.
The application form should be submitted in Microsoft Word in Arial font, size 11,
single-spaced. Applicants should save their file using the following format:
lastname_firstname_carta2015.doc
2.
Incomplete applications and all applications that do not meet formatting requirements
(including page limits) will not be reviewed
3.
All applicants should review the eligibility criteria specified in the call for applications
as those not meeting these criteria will not be considered
4.
In addition to this application form, a complete package should include a reference
letter from one referee. Referees should email the reference letter directly to the focal
person with a copy to carta@aphrc.org
5.
Applicants must ensure that scanned copies of any documents are legible
6.
For your application to be considered, it must reach CARTA’s focal person at your
institution by September 1, 2015. Any application submitted later than this date will
NOT be considered
7.
Please submit your application electronically to the focal person(s) at your institution
AND email a copy to carta@aphrc.org
2015/16-CARTA-APPLICATION
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PERSONAL DETAILS
Last Name:
First and Middle Name:
Address:
Telephone number:
Mobile number:
Email address:
Date of Birth:
Gender:
Nationality:
Employer/Institution:
Department:
DETAILS OF PROPOSED DOCTORAL STUDIES
Title of proposed project:
Are you currently working on a
research project in which your
PhD can be nested? If yes, please
provide the name of the research
project
Have you discussed your research
with any senior colleague or
potential supervisor?
2015/16-CARTA-APPLICATION
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OUTLINE OF RESEARCH CONCEPT
The intention of this section is to assess your ability to write a coherent approach to research, we
understand the research you will ultimately implement may be different from what is presented
below.
1. Title of Research
TYPE HERE
2. Research Problem: Provide a brief description of the problem you intend to address and the
possible research questions, (maximum 1 page)
TYPE HERE
3. Research Methods: Provide brief description of the proposed methods of data collection and
analysis (maximum 1 page)
TYPE HERE
4. Significance. Provide a brief description of the scholarly contribution your proposed research
idea will make, as well as its relevance to contemporary public and population health issues in
Africa. (maximum 1 page)
TYPE HERE
5. Motivation. Provide a brief narrative explaining why doing a PhD is important to you.
Suggested issues to cover: long-term career goals; research interests and future research
involvement; teaching interests and future teaching roles; previous efforts to obtain a PhD
(maximum 2 pages)
TYPE HERE
2015/16-CARTA-APPLICATION
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APPLICANT’S CURRICULUM VITAE
Degree
Institution
Dates
attended
(mm/yyyymm/yyyy)
Position
Institution
Employment
period
(mm/yyyymm/yyyy)
EDUCATION
Include month and year of
graduation (or expected date),
major, faculty/department,
thesis title (if any), and
degrees or certification. Begin
with the most recent degree
EMPLOYMENT HISTORY
List in chronological order
(beginning with current or
most recent employment),
include position details, dates,
and reason(s) for leaving
previous jobs
COMPUTER SKILLS
List computer packages and
level of skill (i.e. basic,
intermediate, and advanced)
PUBLICATIONS
Provide full reference for ALL
your publications
CONFERENCE
PRESENTATIONS
PROFESSIONAL
MEMBERSHIPS
AWARDS, HONORS, AND
GRANTS RECEIVED
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Please include the following document
Letter of reference (provide your referee’s information below). Referees should
email the letter of reference directly to the focal person with a copy to
carta@aphrc.org
Name
Title
Affiliation
Address
Telephone
Email
Your referee should be someone who can comment on your research capacity as well
as provide the supportive environment for you to do your PhD, e.g. you direct line
manager or your head of department etc.
2015/16-CARTA-APPLICATION
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