Junior Investigator Award Form

Guidelines

The ICGP International Junior Investigator Award is open to individuals worldwide, independent of nationality, sex or race
Those nominated may be researchers or clinicians, but must have made a commitment to the field of geriatric psychoneuropharmacology
Individuals must have a doctorate degree, be working full-time in research, teaching, or clinical activities relevant to geriatric psychoneuropharmacology. They must not be more than 8 years past the completion of their terminal degree and be no higher than the Assistant Professor level

To submit a nomination, use the form fields below to upload the required documents, fill out the contact information, and click Submit.

Upload

The nominee's curriculum vitae including a list of publications and/or research support and/or teaching and/or clinical responsibilities.
A 300-500 word Applicant's Statement. Starting a new page, and with your name at the top, briefly describe your current major research theme(s) and/or relevant professional responsibilities. Major relevant contributions should be included with a description of their overall significance and importance to the Mission of the ICGP. A brief statement of future directions also needs to be included.
Letter of recommendation from a senior scientist who will be the sponsor and can knowledgeably address the candidate's interest, involvement and accomplishments in the field of psychoneuropharmacology.

Contact Information

Full Name of Nominee
: Address
: City
: State
: Zipcode
: Country
: Phone
: Fax
: Email Address
: Date of Birth
: At the 2012 Annual Meeting, if selected I will present a poster titled
: I certify that all of the above information is correct (clicking SUBMIT serves as your signature on this form)