2013 Summer Studentship Application mac v1 1

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					                                             ALBERTA INNOVATES – HEALTH SOLUTIONS
                                           2013 SUMMER STUDENTSHIP APPLICATION FORM
                                           1500, 10104 – 103 Avenue, EDMONTON, AB T5J 4A7
                                                Phone: (780) 423-5727 Fax: (780) 429-3509
                                                 e-mail: grants.health@albertainnovates.ca


INFORMATION FOR COMPLETION OF APPLICATION FORM

A.       Guideline Summary for Summer Studentship Program

The Summer Studentship program offers motivated students with exceptional academic records the opportunity
to participate directly in medical or health research in Alberta in the summer months (May to August). The intent
of the program is to encourage such students to consider formal training and a career in medical/health research.

Candidates will usually be registered in an Alberta undergraduate degree program relevant to the objectives of
AIHS. Students registered in an undergraduate degree program outside Alberta may also apply; however, the
research must be undertaken at an Alberta institution. A student registered in a M.D. program who may already
hold an undergraduate or graduate degree may also apply to the Summer Studentship program. Exceptional
senior year high school students with records of participation in the health care system and clear interest in a
medical/health research career will also be considered.

A LIMIT OF TWO APPLICATIONS MAY BE SUBMITTED BY A FACULTY SUPERVISOR

Faculty supervisors sponsoring candidates to this program must have a record of productive research and
sufficient funding to ensure the satisfactory conduct of the research. A separate research project must be
submitted for each student. The supervisor must be prepared to provide direct and continuous supervision
during the term of the award.

Students must be willing to participate full-time in the project for the duration of the award and agree not to
change the supervisor or project during the term of the award. The minimum term of support for this award is two
months.

The award will provide funds to the sponsoring institution to be used as a stipend for the period of the award.

B.       Application Deadline and Evaluation Procedure

Applications must be received by Alberta Innovates – Health Solutions by Friday, February 1, 2013.
Applications that are not complete, or in which the required information is not provided in the manner requested,
will not be considered by the Summer Studentship Review Committee.

AIHS uses the PROGRID system as a tool to evaluate the proposals for Summer Studentship awards. This
system utilizes an alpha-numerical rating scale. The Language Ladders used in determining this rating scale are
attached to these instructions. The application form is designed around these Language Ladders, and gives the
candidate and supervisor space to provide the appropriate information relating to each of the criteria listed.

In its evaluation of each application, the Summer Studentship Review Committee will look primarily for evidence
that: (1) the candidate has an excellent academic record; (2) the supervisor is conducting a productive research
program in an area relevant to the objectives of AIHS; and (3) the supervisor has adequate research funding -
preferably from a competitive granting agency.



C.       Instructions for Completion of Application Form
Application – Summer Student                     1                                            201302
As a public body, AIHS is regulated by the Freedom of Information and Protection of Privacy Act (FOIPP) of
Alberta. As such, the information on the attached Personal Data page will be for AIHS internal use ONLY and
will not be communicated in any way to anyone outside of AIHS.


         (a)      Follow the instructions for completing the application precisely. The application must be a font
                  size of not less than 10 pt. DO NOT photo-reduce material.

         (b)      One application, complete with the candidate’s up-to-date official transcripts and one (1) letter of
                  reference (sealed in an envelope signed by the referee), are required by AIHS.

         (c)      DO NOT submit extraneous information such as additional letters of reference, resumes,
                  abstracts etc. as it will not be submitted to the Summer Studentship Review Committee.

         (d)      Candidates in their final year of a high school or undergraduate program MUST submit evidence
                  of registration in, or application to, an undergraduate (for high school graduates) or graduate (for
                  undergraduate students) university program.

         (e)      If the proposed research program involves human subjects or the use of either animals or
                  biohazardous material, it is the responsibility of the sponsoring faculty and/or department to
                  ensure that the research has received the approval of the appropriate Institutional Ethics
                  Review Committee(s).



                                   SUBMIT ONLY THE ORIGINAL APPLICATION




                                  Additional information on AIHS is available at:

                                           http://www.aihealthsolutions.ca




Application – Summer Student                        2                                           201302
                                    Pro-Grid Summer Studentship
                                         Language Ladders V1.0

                                            A1 - ACADEMIC RECORD


A.       The candidate meets the minimum expectations for candidates to the Summer Studentship program.

B.       The candidate has a good academic track record, with mostly average to above-average grades in all
         courses.

C.       Very good academic record with consistently above-average grades, especially in relevant courses.

D.       Outstanding academic record throughout candidate’s academic training, especially in courses relevant
         to AIHS objectives.


                                   A2 - LETTER OF REFERENCE/SUPPORT


A.       Letter provides general information about the candidate’s personal characteristics and/or academic
         strengths.

B.       Letter is supportive of the candidate, and speaks in general terms of his/her personal characteristics
         (motivation, intellectual capacity, maturity, etc.) and academic strengths.

C.       Letter is very positive and provides considerable detail about the candidate’s relative strengths.
         Candidate has accumulated some research experience, and the letter comments on the candidate’s
         competence/abilities in this area.

D.       Candidate’s research experience has been significant. Letter is very strongly supportive of the
         candidate and communicates an element of excitement about his/her future prospects in conducting
         research.


                                       B1 - SUPERVISOR’S RESOURCES


A.       From the information provided, it is not clear that adequate resources are available to support the
         candidate’s work.


B.       The supervisor receives an adequate and ongoing level of peer-reviewed funding. Other useful
         resources appear to be available within the general environment.


C.       The supervisor is well funded for his/her projects. The candidate will have access to all necessary tools
         within the immediate environment.


D.       The supervisor currently receives strong funding from recognized agencies. All equipment and/or
         support systems required by the candidate and his/her program of research are in place.



Application – Summer Student                      3                                           201302
                               B2 - SUPERVISOR’S RESEARCH TRACK RECORD


A.       The supervisor’s level of productivity in the recent past is modest.

B.       The supervisor has a good/solid record of publication.

C.       The supervisor has a very good/strong and consistent track record of publications.

D.       The supervisor’s track record is excellent in terms of both quantity and quality of published work, and
         has received national/international recognition.



                                   C1 - OVERALL IMPRESSION OF PROJECT


A.       The project appears to be commensurate with the level of the candidate’s training.

B.       The project is relevant to health and is well written, providing sufficient rationalization and
         methodological detail.

C.       The project is relevant to health and is well written, providing sufficient rationalization and
         methodological detail. In addition, this work will potentially produce an original contribution to existing
         knowledge in this field.

D.       The project is clearly defined and is hypothesis-driven. The description provides enough
         methodological detail to evoke confidence that the goals of the project will, in all likelihood, be
         achieved. The project is related to an important area of health research, and has the potential to
         contribute substantially to knowledge in this field.




Application – Summer Student                       4                                             201302
                                                    ALBERTA INNOVATES – HEALTH SOLUTIONS
                                                  2013 SUMMER STUDENTSHIP APPLICATION FORM
                                                  1500, 10104 – 103 Avenue, EDMONTON, AB T5J 4A7
                                                       Phone: (780) 423-5727 Fax: (780) 429-3509
                                                        e-mail: grants.health@albertainnovates.ca

NOTE: The deadline dates for receipt of Summer Studentship award applications is Friday, February 1, 2013
at 4:00 p.m. Applications will be accepted if sent by overnight courier on the deadline day. The font size used should not be smaller than 10pt.
                                                         PERSONAL DATA (for AIHS use only)
As a public body, the Alberta Innovates – Health Solutions (AIHS) is regulated by the Freedom of Information and Protection of Privacy Act
(FOIPP) of Alberta. As such, the information on the following Personal Data page will be for AIHS internal use ONLY and will not be
communicated to anyone outside of AIHS.

SECTION I: PERSONAL DATA
Name: Surname, First Name, Middle Initial(s)

Birthdate:                                                                Gender: (check)
Year              Month            Day
                                                                          Male                               Female
Complete mailing address:                                                 Phone: xxx-xxx-xxxx

                                                                          Fax: xxx-xxx-xxxx

                                                                          E-mail:


Alberta Innovates – Health Solutions (AIHS) supports Alberta research institutions in their efforts to promote and ensure the highest standards
of research and scholarship practice and behaviour. By his/her signature below, each applicant asserts that this application adheres to all
research policies and procedures in place at his/her sponsoring institution, including those regarding integrity in research and scholarship. AIHS
reserves the right to confirm this assertion through independent means. AIHS wishes to alert applicants to the consequences of
misrepresentation in this application, including misrepresentations of authorship, credentials or research support. In the event of material
deviations of the information in this application from reference sources, including citation sources (in the case of authorship), issuing
organization(s) (in the case of credentials), or granting agencies (in the case of research support), AIHS reserves the right to disqualify the
applicant from the competition in question. Further AIHS actions may include disqualifying the applicant from future AIHS competitions for a
time period to be set at AIHS’s sole discretion, withdrawal of any remaining installments of support for any existing AIHS grant or award for
which misrepresentation appears in the submission, and seeking partial or full repayment of any past financial support under any AIHS grant or
award for which misrepresentation appears in the submission.

Further information on AIHS’s support for research and scholarship integrity are found in the General Policies
and Conditions for Grants and Awards at http://www.aihealthsolutions.ca/grants/trainee_awards_general_policies.php .

SECTION II: SIGNATURES (The undersigned agree to, and accept, the general conditions governing any award made
pursuant to the sponsorship of this application, as set out in the AIHS Guidelines, located at www.aihealthsolutions.ca)
Printed Name                               Signature                        Faculty/Dept.                                 Date
Candidate:

Supervisor:


Dept. Head/Chair:


Faculty Dean:




Application – Summer Student                                  5                                                        201302
                                            ALBERTA INNOVATES – HEALTH SOLUTIONS
                                          2013 SUMMER STUDENTSHIP APPLICATION FORM
                                          1500, 10104 – 103 Avenue, EDMONTON, AB T5J 4A7
                                               Phone: (780) 423-5727 Fax: (780) 429-3509
                                                e-mail: grants.health@albertainnovates.ca

PART 1: TO BE
COMPLETED BY CANDIDATE
A.   CANDIDATE
Surname, First Name & Middle Initial(s)


B.    LOCATION OF PROPOSED RESEARCH
Proposed Supervisor (Surname, First Name & Middle Initial(s))     Period of Support ( YY/MM/DD to YY/MM/DD)
                                                                  xx/xx/xx-xx/xx/xx
Complete Mailing Address (Include Research Group/Dept./Faculty
& Postal Code)


                                                                  Phone: xxx-xxx-xxxx

                                                                  Fax: xxx-xxx-xxxx


                                                                  Email:


C.    CURRENT UNIVERSITY/HIGH SCHOOL PROGRAM (ACADEMIC TRANSCRIPT(S) MUST BE ATTACHED)
Program (Degree/Specialization) Expected Program Completion Date Institution/City/Province




D.     UNIVERSITY ACADEMIC ACHIEVEMENTS (Prizes, Honors, Awards) Please indicate if there are none.
       (Attach additional pages if required)
Prize/Honor/Award                      Year Won/Held               Awarded by:




Application – Summer Student                    6                                       201302
                                                                                              CANDIDATE NAME
PART 2: TO BE COMPLETED BY SUPERVISOR
A.       RESEARCH PROJECT In the space below (do not append additional pages) provide a title and summary of the
         research project in which the candidate will be involved. Be sure to describe the role of the trainee in the
         proposed research project with respect to the skills they will gain and the expected outcomes.
PROJECT TITLE:




B.       SUPERVISOR’S RESEARCH FUNDING (current operating grants only) Please indicate if there are none.




Application – Summer Student                       7                                             201302
                                                                                                    CANDIDATE NAME
C.    SUPERVISOR’S RESEARCH PUBLICATIONS Please indicate if there are none.
      Provide a list of your publications for the past three years. Include only papers either published or “in press”
      (indicate the journal in which it will be published). Underline the names of your research trainees.




Application – Summer Student                          8                                                201302

				
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