THE ROYAL COLLEGE OF OPHTHALMOLOGISTS KEELER SCHOLARSHIP 2016 PURPOSE To enable the Keeler Scholar, for the subsequent benefit of ophthalmology in the UK, to study, research or acquire special skills, knowledge or experience at a suitable location in the United Kingdom or elsewhere for a minimum period of six months. VALUE Up to £30,000. SPONSORING COMPANY Keeler Limited. ELIGIBILITY Applicants must be Fellows, Members or Affiliates of the Royal College of Ophthalmologists, those Fellows, Members and Affiliates being in good standing. Potential applicants who have received substantial (usually meaning amounts greater than the value of the scholarship) funding for their project are not eligible for the Keeler Scholarship. The Trustees will give special consideration to candidates intending to make a career in ophthalmology in the United Kingdom. Applicants may apply retrospectively but should not be more than 3 months into the fellowship for which they are applying for support by 3 February 2016 (application closing date). FREQUENCY The Scholarship is awarded every two years subject to a suitable candidate. The Scholarship is awarded by the Trustees of the Keeler Trust after interviews with shortlisted applicants. (These applicants’ expenses will be met for travel within the UK.) THE KEELER SCHOLAR’S COMMITMENT Keeler Scholars must, within three months of the end of the Scholarship, submit a written report to the Trustees. If the Scholar has engaged in research, he or she will be expected to submit the results as a paper or poster for the possible inclusion in the scientific programme of the Annual Congress. APPLICATION FORM AVAILABLE FROM: The College website: www.rcophth.ac.uk/awardsandprizes Please send five copies of both the completed application form and your Curriculum Vitae to: Miss Daniah Ahmed Education and Training Administrator The Royal College of Ophthalmologists 18 Stephenson Way London NW1 2HD CLOSING DATE FOR APPLICATIONS: Wednesday 3 February 2016 THE ROYAL COLLEGE OF OPHTHALMOLOGISTS KEELER SCHOLARSHIP 2016 Application form Closing date for applications is Wednesday 3 February 2016 Last name: First name (s): Address for Correspondence: Telephone no: Email address: Date of birth: Present Post: Qualifications, Diplomas etc (please state where obtained and dates): Does this application have the support of: a) your employing authority: b) your consultant colleagues: c) the key people in the centre(s) to be visited: YES/NO YES/NO YES/NO Contact details of two referees that may be contacted by the awards committee (N.B. This reference will be taken up for short-listed candidates only.): Name: Position: Address: Telephone no: Email address: Name: Position: Address: Telephone no: Email address: Expense to be incurred (please estimate as accurately as possible, this can include, for example, fees to be incurred, research costs not already covered, travel & living expenses, childcare, unavoidable on-going costs in the UK, etc): Does this post come with a salary or other means of financial support, and if so how much? Other grants or fellowships being sought: Please state the purpose for which you intend to use the scholarship. Please limit to 3 pages (excluding diagrams). Please send five copies of both the completed application form and your Curriculum Vitae to: Miss Daniah Ahmed Education and Training Administrator The Royal College of Ophthalmologists 18 Stephenson Way London NW1 2HD Closing date for applications: Wednesday 3 February 2016