MEDICAL RESEARCH COUNCIL

APPLICATION FOR RESEARCH TRAINING FELLOWSHIPS IN HEALTH SCIENCES

2013

PO Box 19070

TYGERBERG

7505

Tel. no. (021) 938-0891 / 938-0225

Faxno. (021) 938-0377 / 938-0368

Internet addresses: /

APPLICANTS ARE KINDLY REQUESTED TO STUDY THE INFORMATION AND CONDITIONS CAREFULLY BEFORE COMPLETING THE APPLICATION FORM

INCOMPLETE FORMS WILL NOT BE CONSIDERED BY THE MRC

In order to stimulate research in health sciences, the MRC makes available research training fellowships for:

  • Medical specialists, preferably under the age of forty-five.
  • Candidates must be South African citizens or in possession of a permanent residence permit issued by the state department concerned before the application will be considered. Please provide a copy of ID document / permanent residence permit.

The MC will contribute an amount of R150,000 towards the salary of the individual with the understanding that the host institution will supplement the award to a market-related remuneration package.

The purpose of the award is to create an opportunity for dedicated time to engage in research activities.

MRC scholarships are renewable on receipt of satisfactory progress.

The MRC’s closing date for applications (which includes renewal) is 31 October.

Ethical Code

The MRC must be assured that any specific requirements, particularly with respect to admission for clinical work, laid down by the institution concerned, have been complied with.

The attention of all persons holding MRC scholarships is drawn to the MRC's publication Ethics Guidelines for Medical Research. A copy is obtainable from the MRC, free of charge.

Publications

Where the results of research undertaken with the aid of a MRC grant (whether wholly or partially), are published as theses or in some other form, acknowledgement of the support received from the MRC, must be made in the publication.

A copy of the thesis should be forwarded to Dr Thabi Maitin,Research Capacity Development, MRC, PO Box 19070, Tygerberg, 7505.

For further assistance or information please contact the following:

Dr Thabi Maitin, Research Capacity Development Sub-Directorate:

Tel. no. (021) 938-0891; Fax no. (021) 938-0377; e-mail

Mr Clive Glass, Research Administration Division:

Tel. no. (021) 938-0225; Fax no. (021) 938-0368; e-mail

APPLICATION FOR A RESEARCH TRAINING FELLOWSHIP IN HEALTH SCIENCES

  1. APPLICANT’S PERSONAL DETAILS

Surname
First name
Date of birth
Identity number

Gender

/
Male
/
Female
Population group / African Black / Coloured / Indian / White
NB: These statistics assist with evaluation of the programme

Citizenship / Permanent residence

Postal address
Tel. no.
Fax no.
E-mail

QUALIFICATIONS (Please attach certified copies of the highest qualification)

Degrees / Year / University / Field of Study

REFEREE REPORTS

Provide names and full contact details (addresses, telephone and fax numbers as well as e-mail address) of three persons from whom referee reports will be requested.

Research Outputs

Provide a detailed list of all publications in the past five years.

CURRENT DEGREE (complete if applicable)

Degree for which you are currently registered

Name of University

Date of first registration
Envisaged date of completion

STATEMENT BY APPLICANT

I certify that the information supplied in this application is correct and if I am awarded an MRC Research Training in Health Sciences Scholarship, I will abide by the relevant regulations.

......

Signature of ApplicantDate

B.DETAILS OF PROJECT (to be completed in consultation with the supervisor)

Project title:

Scientific abstract: (250 words maximum)

SOURCE OF RESEARCH FUNDSAPPLIED FOR IN 2012

Funding Agency / Amount Available

C.DETAILS OF SUPERVISOR (to be completed by the supervisor)

Surname
First name
Institution
Department
Tel. no.
E-mail
Position
Number of postgraduate theses supervised / Doctoral / Masters
Provide a list of research outputs over the past 3 years

D.MOTIVATION BY THE SUPERVISOR

Name of Supervisor

/

Institution

Signature of Supervisor

/

Date

E.INSTITUTIONAL APPROVAL(Institutional approval by both the Research and Ethics and Biosafety Committees must accompany each application.)

Research Committee

Ethics and Biosafety Committees

RESEARCH COMMITTEE (Please complete for each application)

Name
Project
Institutional Support

......

Signature of Representative of InstitutionDate

ETHICS AND BIOSAFETY COMMITTEES (Please complete for each application)

Name
Project
Reviewed by Ethics Committee
Reviewed by Biosafety Committee

......

Signature of Chairman of Ethics/Biosafety Committee(s)Date

F. REFEREE REPORT

This is an example of a letter the applicant should send to each referee.

E.g. Title and name of referee

Address

Dear (Referee’s name)

Enclosed please find an assessment form in support of my application for a Research Training scholarship from the MRC. It would be appreciated if you could complete the relevant form and forward it to:

Institution address ......

ATT: Mr Sidney Engelbrecht......

Faculty of Medicine and Health Sciences (Stellenbosch University)......

PO Box 19063......

PAROW, 7505......

Tel. no. 021 938 9665......

Fax no. 021 931 3352......

E-mail ......

Yours sincerely

......

(Name of applicant)

Items (a), (b) and (c) must be completed by the applicant. The rest of the form is to be completed by the referee.

(a) Name of applicant ......

(b) Institution where research training will be undertaken ......

......

(c) Project title ......

......

REPORT BY REFEREE
1. Do you recommend this applicant, taking also into consideration those personal attributes which would enable him/her to initiate and successfully complete research projects? / YES / NO
2. Do you consider his/her knowledge and academic background sufficient to undertake the above project? / YES / NO
3. Mention outstanding characteristics of the applicant and of his/her work (if any) which you feel are important in terms of this application.
Name and address of referee
Position
Institution

This is an example of a letter the applicant should send to each referee.

E.g. Title and name of referee

Address

Dear (Referee’s name)

Enclosed please find an assessment form in support of my application for a Research Training scholarship from the MRC. It would be appreciated if you could complete the relevant form and forward it to:

Institution address ......

ATT: Mr Sidney Engelbrecht......

Faculty of Medicine and Health Sciences (Stellenbosch University)......

PO Box 19063......

PAROW, 7505......

Tel. no. 021 938 9665......

Fax no. 021 931 3352......

E-mail ......

Yours sincerely

......

(Name of applicant)

Items (a), (b) and (c) must be completed by the applicant. The rest of the form is to be completed by the referee.

(a) Name of applicant ......

(b) Institution where research training will be undertaken ......

......

(c) Project title ......

......

REPORT BY REFEREE
1. Do you recommend this applicant, taking also into consideration those personal attributes which would enable him/her to initiate and successfully complete research projects? / YES / NO
2. Do you consider his/her knowledge and academic background sufficient to undertake the above project? / YES / NO
3. Mention outstanding characteristics of the applicant and of his/her work (if any) which you feel are important in terms of this application.
Name and address of referee
Position
Institution

This is an example of a letter the applicant should send to each referee.

E.g. Title and name of referee

Address

Dear (Referee’s name)

Enclosed please find an assessment form in support of my application for a Research Training scholarship from the MRC. It would be appreciated if you could complete the relevant form and forward it to:

Institution address ......

ATT: Mr Sidney Engelbrecht......

Faculty of Medicine and Health Sciences (Stellenbosch University)......

PO Box 19063......

PAROW, 7505......

Tel. no. 021 938 9665......

Fax no. 021 931 3352......

E-mail ......

Yours sincerely

......

(Name of applicant)

Items (a), (b) and (c) must be completed by the applicant. The rest of the form is to be completed by the referee.

(a) Name of applicant ......

(b) Institution where research training will be undertaken ......

......

(c) Project title ......

......

REPORT BY REFEREE
1. Do you recommend this applicant, taking also into consideration those personal attributes which would enable him/her to initiate and successfully complete research projects? / YES / NO
2. Do you consider his/her knowledge and academic background sufficient to undertake the above project? / YES / NO
3. Mention outstanding characteristics of the applicant and of his/her work (if any) which you feel are important in terms of this application.
Name and address of referee
Position
Institution

1