Keeler Scholarship Application Form 2016

advertisement
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
Download