Neuroscience Online Awards

Student Name Student Name First Last
Student Number
Student Email
Supervisor(s) Name (if known)
Current Degree Level
Year in current Program
Start Date in graduate program Start Date in graduate program / MM / DD YYYY
Scholarship(s) applying for (please check all that apply)

Scholarship(s) applying for (please check all that apply) CGSM CIHR Doctoral NSERC Doctoral SSHRC Doctoral J&J Memorial Scholarship Harold Brett Memorial Fellowship Dr. Tutis Vilis Graduate Award
Number of Major Scholarships Received
Major Scholarships Received Details

List details of the major scholarships received (e.g., Tri-Council, OGS, Alzheimer’s, J&J Memorial etc). Indicate any awards you chose not to take as “declined”.
Number of Oral Presentations
Oral Presentations Details

List all conference oral presentations that you have delivered, divided into to local, national, or international conferences.
Number of Poster Presentations
Poster Presentations Details

List all conference poster presentations that you have personally presented, divided into local, national, or international conferences. Do not list posters on which you were not the presenting contributor.
Number of papers published or in press
Papers published or in press details

List details of all papers published or in press at a referred journal
Number of manuscripts submitted
Manuscripts submitted details

List details of all manuscripts submitted to a referred journal. Do not include manuscripts in preparation
Other Awards

List any other awards that indicate research excellence or potential (e.g., awards for best publications or presentation).
Leadership and Extracurricular Activities

List all professional, academic and extracurricular activities as well as collaborations with supervisors, colleagues, peers, students and members of the community