RMA Scholarship Fund Application - Postgraduate Medical Education

Regional Medical Associates (RMA) Scholarship Fund

Applicant Information

Applicant's Name *

Program *

Program Level (example PGY4) *

Email *

Address *

Phone

Name of Program Director *

Short title of proposed project *

Name of Project Supervisor *

Does this project have any other funding support? If so, where and with whom? *

Expected duration of proposed project *

Location of proposed project *

Has this project been approved by an appropriate Institutional Ethics Review Board? Name? *

Describe previous experience in similar/related research projects and any other research projects. *

Briefly indicate the relevance of this project to your future training and career. *

Required Documents

Describe the nature of your proposal *

In no greater length then four, double spaced, type written pages include: overall objective and specific aims; relevance; background information - general and previous relevant studies; methods; budget with justification. No appendices will be accepted

Detailed Budget *

Supporting Letter from Program Director - defining the role of the applicant in the creation, design, and implementation of the project. *

Supporting Letter from Research Supervisor - defining the role of the applicant in the creation, design and implementation of the project. *

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