Instructions for completing the application form

My invitation letter status has not changed. Help!

Note that it may take up to 3 business days to update your letter status after we have received letters sent by your referees/sponsor. Please do not email or call us to ask whether we received your email until this time has passed. Thank you.

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Section 1 - Applicant Information
Instructions for submitting your application to the JCC Fund officeThis 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 o 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 your 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. Help
  • Once you have submitted the application online, print out a copy of the application and follow the instructions on http://info.med.yale.edu/jccfund/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.
1. Certification View and Print (pdf)
First Name
Last Name
Middle Name
Salutation
Gender
Date of Birth
Marital Status
Number of Children
Agese.g. If you have 2 children of ages 3 and 6 you will put 3, 6
Country of CitizenshipSelect the country whose passport you normally enter the United States with
Current AddressPlease 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
EmailThe email address at which you will like to receive official correspondence from the Fund. One address only.
Current InstitutionYour current institutional affiliation
Institution TelephoneA contact telephone number for your current institution
Other Agencies (applied to)List other grants you have applied to or plan to apply to.
Institution AddressThe mailing address of your current institution
Doctoral DegreeHave you received your PhD?
Section 2 - Research Proposal
Sponsor's NameThe name of your sponsor
Sponsor's AddressThe address of your primary sponsor for this fellowship. The sponsor is the person in whose lab you will be undertaking your fellowship-funded research.
Sponsor's Telephone Number
Sponsor's Fax Number
Preferred Start DateThe earliest date you may select is July 1 2008.
Sponsor lab start dateDate started in Sponsor's lab (or expected start date)
Award TermSelect how long you want the fellowship for
Sponsor's Institution
Email AddressInvite your sponsors to complete your sponsor forms electronically here
Proposal TitlePlease keep the title as brief as possible.
Summary of proposalPlease limit your summary to about 200 words. See here for the reason behind this restriction
Section 3 - References
Referee 1 - NameReferences – provide three references in addition to your Sponsor (Your sponsor may be a reference please list them as such here. Also they must complete the reference rating form in addition to providing the sponsor letter. Invite your referees here.)
Referee 1 - Institution
Referee 1 - Address
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 4 - Educational Data
Title of PhD thesis
PhD Conferred (or Expected)The date on which you received or expect to receive your doctoral degree.
PhD Sponsor's NameThe name of your thesis supervisor
PhD Institution
Other DegreesPlease 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
PhD Sponsor Address
PhD Sponsor's Email AddressThe email address of your primary PhD thesis supervisor
Section 5 - Statement
General Statement - Page 1The 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 2You may continue your general statement on this page if it does not fit within a single page.
Figures and Legends (.pdf files preferred)References, figures and legends, pertaining to the proposal may be attached (electronically). Each attachment (up to 5) may not be more than 2MB. Accepted file formats are .doc, .ppt, .pdf
Section 6 - Experience
Professional positionsList all professional positions held. Use the format Month and Year, Position, Title
Previous research experienceDescribe your major research accomplishments including reference to the laboratory in which they were performed.
AffiliationsList scholarship honors, membership in professional societies and other organizations. Use the format Month and Year, Organization or Professional Society, Title (if any)
PublicationsList your published articles and manuscripts submitted for publication. We do not need to receive paper copies of these articles.
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