Internal Scholarship Application

Research mentors must be approved or have pending approval from the Third Year Committee prior to
application. If in a high-risk area this must be approved through Risk Management. Please make sure
your mentors primary appointment is in the appropriate department to which you are applying.
Complete the following information.

Name:

Address:

Phone:

Email:

Please attach the following documents:

Personal Statement: explain your goals and objectives for your career development, how this
research project fits into your plans, and how you identified your mentor. (Limit half page)

Curriculum Vitae (CV)

Project title and describe your proposed research including background, hypotheses, and
proposed methods. (Limit two pages)

Mentors NIH Biosketch (new format); include a mentoring statement

Letter of Support from mentor

Return completed application with all attachments to Renee Mahaffey at

renee.mahaffey@duke.edu

INTERNAL SCHOLARSHIPS Due on April 1, 2017 unless otherwise noted

Identify the scholarship/s to which you are applying with this application:

____ OHNS T32 Training Fellowship: Due October 31, 2016 Extended to February 1, 2017

____ Poindexter Scholars in Basic Sciences (note Mentor criteria)

____ DukeCTSA Scholarship (2 Years MHSc dual degree)
____ Duke-DTMI Scholarship (1 year certificate in clinical research)
____ Duke Singapore Scholarship: Due February 1st
____ Haas Endowment
____ Hackel (Pathology) Fellowship
____ Ovarian Cancer Research
____ Stead Scholarship

___ Surgery (Bollinger)