Application to be a Research Fellowship Mentee Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Please indicate what country or territory you identify with the most (this may be your country of birth, origin or upbringing or the country in which you reside, etc.)AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweInstitution in which you are currently working and studying *Name of institution and country or territoryIf you are currently studying, what degree are you registered for? *Please put NA in the text box if this question does not apply to youIf you are working/not studying, please indicate your position / job title *Please put NA in the text box if this question does not apply to youPlease list all degrees you have obtained (name of degree, institution awarding the degree, and year of graduation) *Please describe briefly (in 300 words or less) what research you would like to undertake during this fellowship program (should include: the research question you would like to address and why; and initial ideas on what data you could use and methods for analysis) *Please provide a brief motivation (250 words or less) of why you should be considered for this fellowship program (should include information on senior colleagues in your institution or your wider network who provide support to you, and what you expect to get out of the fellowship) *Where do you see yourself in 5 years? (Please describe in less than 100 words) *Is there a specific person you would like to suggest as a mentor in this fellowship program – this should be someone you have already been in contact with but have not yet undertaken collaborative research with? If yes, provide name, institution and email address and brief information on what engagement you have had with them. *Please provide information on two people we could approach for a reference on your research activities (name, email address and relationship to you – such as a previous research collaborator or lecturer/professor) *Please upload a copy of your CV * Click or drag a file to this area to upload. Submit