55 West 39th Street, 16th Floor, New York, NY 10018 (212) 703-9977 2017 Glenn/AFAR Scholarships for Research in the Biology of Aging
Instruction Sheet Please carefully read the application guidelines on the AFAR website, www.afar.org/research/funding/glenn-afar-scholarships, before completing this application. If you are uncertain whether your project meets the program criteria and relevance to the biology of aging in particular, please do not hesitate to contact AFAR.
INSTRUCTIONS Materials to be submitted by the applicant The application must be submitted by email through email@example.com, no later than January 17, 2017, at 5:00 p.m., EST. The application should be sent as a single PDF file application, not to exceed 5 MB. Late submissions or submissions sent by regular mail or fax will NOT be accepted. The file should be named as follows: “last name, first name”; for example “Smith, John.pdf”. Late submissions will NOT be accepted for any reason.
UPON SUBMISSION, YOU WILL RECEIVE AN EMAIL FROM AFAR CONFIRMING RECEIPT OF YOUR APPLICATION. IF YOU DO NOT RECEIVE AN EMAIL, PLEASE CONTACT THE AFAR OFFICE RIGHT AWAY. The application file should be assembled in the following order:
Part 1 (background and personal statement)
Part 2 (proposed research)
Part 3 (mentor plan)
Mentor’s NIH-style biographical sketch (not to exceed five pages)
Academic transcripts from all institutions attended (may be student copies – ok if printed from website but name of applicant MUST be visible).
The PDF file may not include any additional documents; please submit only the required materials.
Letter of Support. The letter should be written by an undergraduate advisor, faculty member or senior professional (not the mentor) who is well-acquainted with the candidate’s capabilities, activities, and accomplishments. The letter is NOT to be included in the application, but must be submitted directly to AFAR by the letter writer (NOT the applicant), to firstname.lastname@example.org as a Word or PDF file. Letters submitted via regular mail are also accepted.
Section 4 is NOT to be included in the application.
DO NOT INCLUDE THIS INSTRUCTION SHEET WITH YOUR APPLICATION!
2017 Glenn/AFAR Scholarships for Research in the Biology of Aging
Application [Cover page: should be the first page of your application] Title of Proposal (cannot exceed 20 words):
Dates of Proposed Research (the project start date must be between May 1, 2017 and December 31, 2017):
Name, Address, Telephone, and Email Address of Applicant:
Date of Birth
Country of Citizenship
Permanent Address, Telephone, and Email, if different from above:
Check the appropriate box:
PhD degree anticipated in (Month/ Yr.)
MD degree anticipated in (Month/Yr.)
MD/PhD degrees anticipated in: (Month/Yr.)
Name, Title, Institution, Complete Mailing Address, Telephone, and Email of Mentor:
Signature of Mentor
Does the research plan include use of human subjects? YES NO
Does the research plan include use of animal subjects? YES NO
Applicants should note that IRB certification (for human subjects) and/or Animal Use Committee approval (for animal subjects) must be provided to AFAR before a grant award can be made.
Applicants are urged to consult the AFAR website at http://www.afar.org/research/funding/animal-use/ for advice on human and animal usage. The website includes a helpful set of guidelines for optimal use of rodents in aging research projects.
PART 1 BACKGROUND AND PERSONAL STATEMENT GRADUATE OR PROFESSIONAL SCHOOLS ATTENDED/ATTENDING
HONORS AND AWARDS IN UNDERGRADUATE – GRADUATE SCHOOLS
EXTRACURRICULAR, COMMUNITY, AND AVOCATIONAL ACTIVITIES
COURSES OR OTHER EXPERIENCES IN GERIATRICS, GERONTOLOGY
LIST CURRENT SALARY, STIPEND, SCHOLARSHIP SUPPORT. INDICATE SOURCE, AMOUNT, AND DATES FUNDED.
NAME OF PERSON WHO WILL SUBMIT A LETTER OF SUPPORT (cannot be the mentor)
Name Title Institution
HOW DID YOU HEAR ABOUT THE PROGRAM?
PERSONAL STATEMENT INCLUDING CAREER GOALS, RELATION OF THIS WORK TO OTHER PROJECTS IN WHICH YOU ARE NOW ENGAGED (IF APPLICABLE) AND HOW THIS SCHOLARSHIP MAY ADVANCE YOUR CAREER IN AGING RESEARCH (Limit 500 words)
PART 2 PROPOSED RESEARCH TITLE AND SUMMARY OF PROPOSED RESEARCH to be written by student (not to exceed 5 pages, references in addition to the proposal not to exceed 2 pages). Insert page number and applicant’s name at the top of each page, and use Arial font that is not smaller than 11 point with at least 1/2 inch margins on all sides. Any figures must be included in the 5 pages.
Address each of the following (identify each section by the corresponding letter):