Instructions for completing the application form

Section 1 - Applicant Information

Instructions for submitting your application to the JCC Fund office

This online form will help you to complete your application in steps.

Fill all the forms page by page. You may save and return to the application anytime during the application period.
On completion of the online application, click on the final submission button which will appear at the bottom of this page to submit the application to us. You can also use the "Print" option to print out your paper copies at any time.
After you have clicked the final submission button, You may only access the ready-to-print version.
Note that you must request 3 references and 1 sponsor's statement to be submitted on your behalf. Please use the "referees" and "sponsors" link on your application page to do this.
Once you have submitted the application online, print out a copy of the application and follow the instructions on http://www.jccfund.org/application to submit a paper copy to us. Please note that any supplementary attachments you upload to this online form must also be printed out and included with each copy of the rest of your application.

Please read the help pages before starting this application.

Additional Forms

You are also required to print out, and send in the certification page with your completed application. The certification page is the last page of the printed out application.

Certification

Last Name

First Name

Middle Name Initial

Proposal Title

What is the title of your proposal?

Section 2 - Research Proposal
Summary of Research Proposal	Please write a summary of your proposal here. Proposal text should be no more than 200 words. Please do not attach anything.

Section 3 - Proposed Sponsor Information
Last Name	What is the last name of your proposed sponsor?
First Name	What is your sponsor's first name?
Institution	What is the institution of your sponsor?
Department	Sponsor's department
Address	Mailing address of Sponsor
Telephone
Email

Section 4 - PhD Mentor Information
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
Email	The email address of your primary PhD thesis supervisor

Section 5 - References
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
Referee 2 - Name
Referee 2 - Institution
Referee 2 - Address
Referee 2 - Telephone
Referee 2 - Email Address
Referee 3 - Name
Referee 3 - Institution
Referee 3 - Address
Referee 3 - Telephone
Referee 3 - Email Address

Section 6 - Applicant Information
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, 2010 and January 1, 2011 (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
Email	The email address at which you will like to receive official correspondence from the Fund. One address only.
US Citizenship
Country of Citizenship	Select the country whose passport you normally enter the United States with
Visa type	Current US Visa authorization if not US citizen (e.g. L, H1B, J1, etc)

Section 7 - Other Agencies
Applying to	List other grants you have applied to or plan to apply to.

Section 8 - Statement
General Statement - Page 1	The general statement is a plan of proposed investigations and training. The statement should not exceed 2500 words. Please note that this is a guideline, not a hard-and-fast rule. Different line-spacing can lead to different results when you save your complete application to PDF for printing. References, figure legends, figures or other supporting documents pertaining to the proposal may be attached below.
General Statement - Page 2	You may continue your general statement on this page if it does not fit within a single page.
Optional attachments	References, figures and legends, pertaining to the proposal may be attached using this form. When saving a file attachment, make sure to use the 'Attach' button first. The 'Save' button will only save the page, not the attachment. Please be sure that your attachments were uploaded correctly by clicking on the attachment links in 'Preview' mode for this section.

Section 9 - Educational Data
Title of PhD thesis
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
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)
Publications	List your published articles and manuscripts submitted for publication. We do not need to receive paper copies of these articles.