IPSF-ACPHS Internship application form

4
Research Internship in the application of Nanotechnology for the detection and treatment of cancer at the Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences 1- Application Form Name IPSF member organization Country of Residence Date of Birth Gender Address of Residence Phone Number E-mail Address Military Status Passport Number Date of Expiration Place of Issue Emergency

description

IPSF-ACPHS Internship application form

Transcript of IPSF-ACPHS Internship application form

Page 1: IPSF-ACPHS Internship application form

Research Internship in the application of Nanotechnology for the detection and treatment of

cancer at the Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences

1- Application Form

Name

IPSF member organization

Country of Residence

Date of Birth

Gender

Address of Residence

Phone Number

E-mail Address

Military Status

Passport Number

Date of Expiration

Place of IssueEmergency

Contact(Name,

Relation,phone number,email)

Deadline for submitting all required documents for the internship is February 1st 2013 to [email protected]

Please remember to submit an updated CV, Letter of recommendation from one of your professors and a confirmation letter from your IPSF contact person.

Only PDF format of all documents will be accepted.

Page 2: IPSF-ACPHS Internship application form

2- Proposal on the role of nanotechnology in the early detection and treatment of cancer

(Please include brief background, rationale, significance, and approach). All entries must be the original idea of the author, which may be justified based on relevant literature. The proposal may include up to one additional page for references (Note: references are not counted towards the 500 word limit of the proposal)

Page 3: IPSF-ACPHS Internship application form

3- Motivation letter

Applicant Signature: Date: