INTERNATIONAL SUPPORT NETWORK FOR AFRICAN DEVELOPMENT (ISNAD)
Application – Mentoring for Research Programme
(MRP)
ISNAD is committed to equal opportunity and excellence through diversity

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Personal Information
First Name: type / Last Name: type / Sex: select
Permanent Address: type / City: type
Zip Code: type / State/Province: type / Country: type
Mobile Number: type / Email: type
Nationality: type / Date of Birth: select / Age Group: select
Research Background
Current Academic Programme: type
Institution: type / City: type / Country: type
Department: type / Level of Study: choose an item
General Research Area: choose an item
Specific Research Area (e.g. Energy Efficiency, Environmental Policy, Climate Change Mitigation, etc): please refer to ISNAD website to see “Areas on Interest” on Mentors’ Profiles as samples
Research Topic: type
Supervisor (Name and title- Prof./Dr.) (If appointed already): type
Research Concept Note (250-300words)
*Candidates without research concept may be accepted but priority will be given to those who have
type
If the research has begun already please provide details of the level of work (100words max.): type
Nominate Mentors:
a.  please read through the profiles and areas of interest of mentors in the Mentors’ Community on ISNAD’s website
b.  nominate, in order of preference, two mentors whose interest align with your research area
c.  state their areas of interest that aligns with your (proposed) research
d.  kindly note that mentors are continuously being added to the Mentors’ Community, therefore, if you do not find a mentor whose interest align with your research concept, please fill each section here with “Not Applicable”
S/N / Name / Area(s) of Interest
1 / type / type
2 / type / type
Education
please indicate maximum of three (3) tertiary education programmes only, starting from the most recent
Previous Academic Programme 1
Name of Institution: type
City: type / Country: type / Zip Code: type
Years attended From: type *To: type
*For ongoing programme, please state the expected year of completion / *Cumulative GPA (XX/XX): type/ type
*For countries or institutions where Cumulative GPA is not applicable, please state your grade using the applicable grading system
Cumulative CPA or Grade expressed in percentage (Grade/Highest Attainable Grade): type
Major Discipline/ Department: type / Degree Received /Expected: type
Previous Academic Programme 2
Name of Institution: type
City: type / Country: type / Zip Code: type
Years attended From: type *To: type
*For ongoing programme, please state the expected year of completion / *Cumulative GPA (XX/XX): type/ type
*For countries or institutions where Cumulative GPA is not applicable, please state your grade using the applicable grading system
Cumulative CPA or Grade expressed in percentage (Grade/Highest Attainable Grade): type
Major Discipline/ Department: type / Degree Received /Expected: type

Previous Academic Programme 3

Name of Institution: type
City: type / Country: type / Zip Code: type
Years attended From: type *To: type
*For ongoing programme, please state the expected year of completion / *Cumulative GPA (XX/XX): type/ type
*For countries or institutions where Cumulative GPA is not applicable, please state your grade using the applicable grading system
Cumulative CPA or Grade expressed in percentage (Grade/Highest Attainable Grade): type
Major Discipline/ Department: type / Degree Received /Expected: type
Relevant Professional/Volunteering Projects or Activities
Please indicate maximum of three (3), if available/applicable (starting from the most recent)
Professional/Volunteering Project or Activity 1
Programme/Project/Training/Activity: type
Date (mm/yyyy) From: type *To: type
*For ongoing programme, please state the expected year of completion
Organisation: / Type/Level of Certification(If any): type
Supervisor/Contact Person
Name: type Mobile number: type
Email address: type
Short description of programme, project, training or activity (50words max.): type
Professional/Volunteering Project or Activity 2
Programme/Project/Training/Activity: type
Date (mm/yyyy) From: type *To: type
*For ongoing programme, please state the expected year of completion
Organisation: / Type/Level of Certification(If any): type
Supervisor/Contact Person
Name: type Mobile number: type
Email address: type
Short description of programme, project, training or activity (50words max.): type
Professional/Volunteering Project or Activity 3
Programme/Project/Training/Activity: type
Date (mm/yyyy) From: type *To: type
*For ongoing programme, please state the expected year of completion
Organisation: / Type/Level of Certification(If any): type
Supervisor/Contact Person
Name: type Mobile number: type
Email address: type
Short description of programme, project, training or activity (50words max.): type
Referees
Kindly inform your referees about the application as their recommendations will be required should you be considered for the programme.
If you have a supervisor already, your Referee 1 should be your supervisor
Referee 1
Full Name: type / Relationship: type
Institution/Organisation: type / Designation: type
Address: type / Mobile Contact: type
Email address: type
Referee 2
Full Name: type / Relationship: type
Institution/Organisation: type / Designation: type
Address: type / Mobile Contact: type
Email address: type
Are you active on social media? Please add your links here:
LinkedIn: type
Facebook: type
Twitter: type
Instagram: type
Comments
Do you have any other information to share with us? (50words max.)
type
Signature Disclaimer
☐ By checking box, I certify that the information provided is true and complete to the best of my knowledge. If I am accepted, I understand that false or misleading information in my application or interview may lead to expulsion from the program.
Name: / type / Date: / select


Kindly attach the following documents to the completed application form:

i.  Institutional Identity Card (or any other evidence of current enrolment in a university in Africa)

ii.  Publications (if any)

Submission:

Applicants are required to submit two documents:

1.  The completed application form in Microsoft Word Version, and

2.  The completed application form, evidence of current enrolment in a university in Africa, and publications (if any) as a single PDF document

The documents 1 and 2 above should be attached to an email sent to (Cc: ) on or before the deadline

For inquires, you may please reach us via email: (copy: )