IUBMB Wood-Whelan Research Fellowships - Application Form

Please view guidelines before submitting this form: Guidelines IUBMB Wood-Whelan Research Fellowships

The deadline for submitting an application is March 15th and September 15th of the current year. Applicants are encouraged to apply at least one cycle in advance of their anticipated travel; earlier applications will be considered to allow for resubmissions. The deadline submission is 11:59 pm Pacific Standard Time. Late applications will not be considered.

Application - Wood-Whelan Research Fellowship

Applicant information

Title Title

First Name *

Middle Name

Last Name *

Pronouns (optional) Pronouns (optional)

Are you a resident of a Country that is a member of IUBMB

Yes

This is a requirement

If yes, please provide details

Member certificate or letter upload

Maximum file size: 2MB

Please upload a certificate or confirmation letter of membership in your local Biochemistry and Molecular Biology society. Accepted file types: pdf, jpg, jpeg, gif, png, Max size 2MB.

Current position *

Institute name *

Department name *

Room number

Institute - Full mailing address (include street/civic number, street, city, country, postal code) *

Phone (include country and area code) *

Current supervisor

Current supervisor Name and Title

Supervisor Email *

Supervisor - Full mailing address (include street/civic number, street, city, country, postal code) *

Host information

Is your Host a Resident of a Country that is a Member of IUBMB?

Yes

This is a requirement

If yes, please provide details

Name of receiving institute *

Name and Title of Host Supervisor at Receiving Institute

Email of receiving supervisor

Host - Full mailing address (include civic number, street, city, country, postal code) *

Project Details

Project title

The Nature of the Project and the Type of Experiments to be Carried Out

Up to 1.5 pages

Travel justification

Why it is necessary to travel to a particular laboratory to conduct the experiments rather than to perform them in the applicant’s own laboratory or simply to ship the materials

Planned Start Date

Planned End Date

Time justification

Why will the project require the particular time period requested

Acknowledgment of Receipt of the Fellowship should be made in any Publication(s) that arise(s) as a result of the visit.

Agree

Disagree

Budget

A comprehensive budget should be provided (in US dollars)

Airfares

Economy return airfares. Attach an estimate of the travel costs provided by a travel agent.

Accomodations

Indicate the accommodation costs for the duration of the stay in the host country for the period of the Fellowship

Other expenses

Total

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Provide travel details

Provide accomodations details

Indicate the accommodation costs for the duration of the stay in the host country for the period of the Fellowship. Provide details.

Provide details of other expenses

State how these Travel and Accommodation Costs will be Covered, if in Excess of the Maximum of USD $5,000 per IUBMB Fellowship.

Indicate ALL Other Sources of Support, Whether Awarded or Applied for.

Supporting documents

Curriculum Vitae of Applicant

Maximum file size: 2MB

Accepted file types: pdf, jpg, jpeg, jpe, gif, png, Max size 2MB.

Travel Costs Estimate

Maximum file size: 2MB

Please attach an estimate of the travel costs provided by a travel agent and be based on the costs of the cheapest flight available. Accepted file types: pdf, jpg, jpeg, jpe, gif, png, Max size 2MB.

Letter of acceptance

Maximum file size: 2MB

A letter of acceptance from the Head of the receiving institute countersigned by the leader of the group in which the applicant will work, stating that the institute will receive the applicant. A list of papers published by the group leader during the past five years should be provided. This letter should give an indication of the living expenses for the period, if the Wood-Whelan Fellowship is expected to provide funds towards these costs and should also indicate what the receiving institute’s contribution will be towards these costs. Accepted file types: pdf, jpg, jpeg, jpe, gif, png, Max size 2MB.

Letter of recommendation

Maximum file size: 2MB

A letter of recommendation from the Head of the department of the applicant’s institution indicating the reasons why the fellowship would be beneficial. This letter should also list all other fellowships previously received by the applicant, especially for travel abroad to attend meetings or to study at another institution. Accepted file types: pdf, jpg, jpeg, jpe, gif, png, Max size 2MB.

Signature

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