We will accept referee and sponsor letters either through the website or by email until February 28. Referees may send letters and ratings (from A to E) directly to us at letters@jccfund.org. Sponsor letters may also be sent to the same address. Please paste the contents of your letter inside the body of your email.
Instructions
| Section 1 - Applicant Information | ||||
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This online form will help you to complete your application in steps.
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| Line break after applicant last name | Line break after applicant last name | |||
| Last Name | ||||
| First Name | ||||
| Middle Name Initial | ||||
| Section 1 - Educational Data | |
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| Title of PhD thesis | |
| Thesis Advisor - Email Address | |
| Degree | Please enter your degree. |
| Date Degree Conferred or Expected | On what date do you expect your degree or on what date was your degree awarded? |
| Last Name | Please enter the last name of your Thesis Advisor |
| First Name | Please enter the first name of your Thesis Advisor |
| Thesis Advisor Department and Institution | Please enter the Department and Institution of your Thesis Advisor |
| Section 2 - Proposed Sponsor Information | |
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| Last Name | What is the last name of your proposed sponsor? |
| First Name | What is the first name of your proposed sponsor? |
| Institution | What is the institution of your sponsor? |
| Address | Mailing address of Sponsor |
| Telephone | |
| Section 2 - Referee Information | |
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| Referee 1 - Name | Provide three references in addition to your Sponsor (it is preferred that the Sponsor not be used as a reference). Invite your referees by email here. |
| Referee 1 - Institution | |
| Referee 1 - Address | Number and street, City, State, Zip |
| Referee 1 - Telephone | |
| Referee 1 - Email Address | |
| Break line after referee 1 email address | |
| Referee 2 - Name | |
| Referee 2 - Institution | |
| Referee 2 - Address | |
| Referee 2 - Telephone | |
| Referee 2 - Email Address | |
| Break 2 | |
| Referee 3 - Name | |
| Referee 3 - Institution | |
| Referee 3 - Address | |
| Referee 3 - Telephone | |
| Referee 3 - Email Address | |
| Section 3 - Research Proposal | |
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| Proposal Title | In five words, what is the title of your proposal? |
| Synopsis of Research Proposal | Write a summary (approx 200 words or less) of your proposal here. |
| Section 4 - PhD Mentor Information | |
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| Last Name | The last name of your PhD thesis mentor |
| First Name | First name of PhD sponsor |
| Institution | Institution of your PhD mentor |
| Department | Department of your PhD mentor |
| Address | Number and street/Post office box, City, State, Zip |
| Telephone | A contact telephone number of your PhD mentor |
| The email address of your primary PhD thesis supervisor | |
| Section 5 - Applicant Information | |
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| Gender | |
| Date of Birth | |
| Doctoral Degree | Have you received your PhD? |
| PhD Conferred (or Expected) | The date on which you received or expect to receive your doctoral degree. |
| Date started in Sponsor Lab (or expected) | The date you started (or expect to start) working with your sponsor on the research to be supported by this fund application. |
| Institution Address | The mailing address of your current institution |
| Award Term | Preferred duration of award |
| Preferred Start Date | Choose a date between July 1, 2012 and January 1, 2013 (inclusive) on which you prefer your fellowship to start |
| Current Institution | Your current institutional affiliation |
| Current Department | |
| Current Address | Please give the mailing address where you can be reached throughout the review period of your application. PLEASE NOTIFY THE OFFICE OF THE FUND IF YOUR ADDRESS SHOULD CHANGE AFTER SUBMITTING YOUR APPLICATION. |
| Telephone | A phone number to reach you |
| The email address at which you will like to receive official correspondence from the Fund. One address only. | |
| US Citizenship | |
| Visa type | Current US Visa authorization if not US citizen (e.g. L, H1B, J1, etc) |
| Section 6 - Other Agencies | |
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| Applying to | List other grants you have applied to or plan to apply to. |
| Section 7 - Statement | |
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| General Statement - Page 1 | The general statement is a plan of proposed investigations and training. The statement should not exceed 15,000 computer characters- 10,000 characters saved for Page 1 and 5,000 saved for Page 2. Please note that this guideline is strict and text exceeding the limit will be truncated. Microscope slides, figure legends, figures pertaining to the proposal may be uploaded into this field as one image. Your image will be automatically resized to 800x600. Please preview your application before submitting. |
| General Statement - Page 2 | You may continue your general statement on this page if it does not fit within a single page. |
| Image Upload | Microscope slides, figures and legends, pertaining to the proposal may be uploaded as an image using this form. Before saving the image with the 'Upload' button, make sure to save the page first with the 'Save' button. The 'Upload' button will only save the image, not the page. Please be sure that your image was uploaded correctly by clicking on the image links in 'Preview' mode for this section. Changes made to the image are not permanent until you save this page. You may insert your uploaded image into the statement by inserting the text {{image}} into the body of your General Statement. If the name of your file is figure1.png, insert the text {{image}} not {{figure1.png}} nor {{figure.png}}. Preview the section to make sure the image appears correctly before submitting your application. |
| Section 8 - Article References | |
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| Article References | List General Statement references. |
| Section 8 - Educational Data | |
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| Other Degrees | Please list all college or university education in chronological order. Indicate type and date of all pending or expected degrees including supervisor. Use the format Month and Year, Institution, Degree, Supervisor |
| Section 9 - Experience | |
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| Professional positions | List all professional positions held. Use the format Month and Year, Position, Title |
| Previous research experience | Describe your major research accomplishments including reference to the laboratory in which they were performed. |
| Affiliations | List scholarship honors, membership in professional societies and other organizations. Use the format Month and Year, Organization or Professional Society, Title (if any) |
| Section 9 - Publications | |
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| Publication 1 | List your published articles and manuscripts submitted for publication. We do not need to receive paper copies of these articles. |
| Publication 1 Link | The link or URL should be of the form http://website/path/to/publication |
| Publication 1 Link line break | Publication 1 Link line break |
| Publication 2 | List your published articles and manuscripts submitted for publication. |
| Publication 2 Link | The link or URL should be of the form http://website/path/to/publication |
| Publication 2 Link line break | Publication 2 Link line break |
| Publication 3 | List your published articles and manuscripts submitted for publication. |
| Publication 3 Link | The link or URL should be of the form http://website/path/to/publication |
| Publication 3 Link line break | Publication 3 Link line break |
| Other publications | List all your published articles and manuscripts submitted for publication. |