VESALIUS TRUST

STUDENT RESEARCH SCHOLARSHIP PROGRAM

APPLICATION FORM

(For Vesalius Trust Student Research Scholarship Grants, Vesalian Scholars and Alan Cole Award; all eligible applicants compete for all awards)

Instructions: Using the attached sheets, type or legibly complete this entire application.

 

Name __________________________________________________________________

Program / Institution ______________________________________________________

Mailing Address _________________________________________________________

_________________________________________________________

Telephone school ____________________ home _____________________________

Fax _______________________________ e-mail _____________________________

Anticipated graduation date: ________________________________________________

Project Title _____________________________________________________________

________________________________________________________________________

Subject matter expert (s) and affiliations(s) ____________________________________

________________________________________________________________________

Applicant’s signature _____________________________________________________

Department Chairperson’s signature _________________________________________

 

 

 

 

 

 

 

 

 

VESALIUS TRUST

STUDENT RESEARCH SCHOLARSHIP PROGRAM

INFORMATION SHEET

 

  1. ELIGIBILITY
    1. Any student currently enrolled in an undergraduate or graduate school program of bio-communications.
    2. Completion of one full year of the curriculum.

 

  1. AWARD LEVELS – Award amounts will vary from year to year and will be at the discretion of the Vesalius Trust Board of Directors and the Association of Medical Illustrators’ scholarship committee.

    Vesalius Trust Student Research Grants
    awarded to applicants whose projects show evidence of merit, based on the criteria listed below

    Vesalian Scholarships
    awarded to the top several applicants whose project show evidence of significant merit

    Alan Cole Scholarship
    awarded to the student with the proposed project of the most merit

    2.  

  2. APPLICATION RULES
  1. The entire application must be submitted together or it will not be considered.
  2. The deadline for submissions is November 9, 2007 (all material must be postmarked on or before this date).
  3. Applications are to be sent to the Chair of the AMI Scholarship Committee:
Wendy Hiller Gee
VT Student Grants and Scholarships
c/o Krames
1100 Grundy Lane
San Bruno, CA 94066
Phone: 650-244-4320
Electronic mail address: wendy.hillergee@krames.com

VESALIUS TRUST STUDENT RESEARCH SCHOLARSHIP

JUDGING GUIDELINES

 

  1. APPLICANT AND SUPPORT PERSONNEL: 30%
  1. Background / Education: 20%
  1. CV / resume (education, work experience, publications / presentations, honors)
  2. Transcripts (student copies)
    - graduate students: transcript of most recent full year
    - undergraduate students: entire transcript at current institution
    (transcripts from other institutions are optional)
  3. Department chairperson signature
  4. Completion of one full year of program at time of funding
  1. Preceptor / Subject, matter expert: 10%
  1. Name, title, institution
  2. Role in project development
  3. Opinion of student’s ability to successfully complete project as described
  4. Brief statement of potential contributions of project

 

  1. RESEARCH PROPOSAL: 70%
  1. Project concept / subject matter: 30%

Most will fit into one of the following categories, they are weighed as equal in value
  1. New or original contribution to body of knowledge
  2. Complex scientific / medical / bio-communications subject matter
  3. Re-interpretation / explanation of existing subject matter
  1. Project design and production plan: 40%

Design: 20%
  1. Goals / objectives of project clearly stated and feasible given the resources and time allotted
  2. Audience clearly defined
  3. Clearly states how the project will meet the goals and how this will be measured (selection of medium, value of biomedical communication and the impact or role it will play in the project, subject matter level and language, etc.)

Production: 20%
  1. Budget
  2. Specific availability of resources (hardware, software, biological materials, staff support, etc.)
  3. Production schedule / timeline

 

 

CURRICULUM VITAE / RESUME

Include education, work experience, publications / presentations, work experience, awards and honors, special skills and other appropriate information.

 

 

PROJECT DESCRIPTION

Describe the scholarship project / study

  1. Title
  2. Brief statement of project problem or purpose and its goals and objectives (this section is not to exceed one page)
  3. Budget
  4. Availability of resources
  5. Production schedule / timeline

 

 

PRECEPTOR / CONTENT ADVISOR FORM

Applicant’s name ________________________________________________________

Preceptor’s name _________________________________________________________

Title or position __________________________________________________________

Institution / company _____________________________________________________

  1. In what capacity will you advise the student with his/her project? _______________

    2. ________________________________________________________________________

    ________________________________________________________________________

    ________________________________________________________________________

  2. Having read the project description, how would you rate the student’s ability to successfully complete the project as described? Please circle your rating.

    3. 1 – 2 – 3 – 4 – 5 – 6 – 7 – 8 – 9 – 10

    Weak Strong

  3. You have thoroughly discussed the project with the student and you believe the project to be a viable and achievable one, considering the time available to you and the student? Yes No
  4. In your opinion, does the student possess the requisite skills in your areas of expertise (knowledge, terminology, technical skills, practice, resourcefulness) to effectively master the materials and functions required by the subject?

    5. 1 – 2 – 3 – 4 – 5 – 6 – 7 – 8 – 9 – 10

    Weak Strong

  5. Approximately how much of your time (in hours) will you contribute to advising the student with his/her project on a weekly basis? _______________
  6. Would you agree the student is a successful communicator with you and is actively soliciting advice from you? Yes No

 

 

Signature _______________________________________ Date _________________

 

FACULTY ADVISOR FORM

Applicant’s name ________________________________________________________

Advisor’s name __________________________________________________________

Title or position __________________________________________________________

Institution ______________________________________________________________

  1. What role will you have in assisting the student with his/her project? _____________

    2. ________________________________________________________________________

    ________________________________________________________________________

    ________________________________________________________________________

  2. Having read the project description, how would you rate the student’s ability to successfully complete the project as described? Please circle your rating.

    3. 1 – 2 – 3 – 4 – 5 – 6 – 7 – 8 – 9 – 10

    Weak Strong

  3. You have thoroughly discussed the project with the student and you believe the project to be a viable and achievable one, considering the time available to you and the student? Yes No
  4. You believe the student’s undertaking of this project and his/her involvement in it will not adversely impact the structure course of study? Yes No
  5. In your estimation, the project / study itemized budget is both reasonable and accurate? Yes No
  6. Indicated the number of years (full or partial) the student has completed in the program (at least one full year of study is required): __________ years

 

 

Signature _______________________________________ Date _________________

 

Application Check List

You will be sending six sets of applications, one original and 5 copies.
The deadline is November 10, 2006 (all material must be postmarked on or before this date)

 

 

  1. Make 5 copies of each of the following.

o Application form with signatures of applicant and program director
  • CV / resume (education, work experience, publications / presentations,
    work experience, awards, etc.)
  • Transcript

o o Project description, budget and timeline

o o Preceptor’s form
  • Faculty advisor’s form
  1. Assemble 6 stapled sets, 1 original and 5 copies. Documents should be
    in the order outlined above.
  2. Send a package with the six applications to:
Wendy Hiller Gee
VT Student Grants and Scholarships
c/o Krames
1100 Grundy Lane
San Bruno, CA 94066
Phone: 650-244-4320
Electronic mail address: wendy.hillergee@krames.com

†