OHIO LIONS EYE RESEARCH FOUNDATION
FELLOWSHIP APPLICATION
(
This cover page must be the first page of the Fellowship Application)Date: ________________
Name of Fellowship Applicant: _______________________________________
Name of Fellowship Sponsor or PI: ___________________________________
PI's Phone: _____-_________ PI's Email: ____________________________
Name and Address of OLERF Approved Institution:_______________________
_______________________________________________________________
________________________________________________________________
Check one: _____ New Application _____ Continuation Application
Directions
Only one fellowship application is allowed per OLERF approved institution.
A Fellowship application includes the following:
1. This cover page.
2. Layperson abstract (In plain English, describe the problem to be addressed, methods, expected results and implications of the research. 3 pages max.)
3. Student’s Curriculum Vitae
4. Progress Report. (If this is a continuation Fellowship, list the complete references for presentations and publications that have resulted from the funded research. Send a copy of each abstract and publication funded in whole or in part by the fellowship).
Applications (#1-3) must be received by July 10, 2006 and progress reports (#4, if applicable) by July 14, 2006. E-mail the application (#1-3) to Leguire@ohiolionseyeresearch.com. Mail one copy of the entire application to:
L. E. Leguire Ph.D., MBA
ED 459
Department of Ophthalmology
Children’s Hospital
Columbus, OH 43205
E-mail deadline (#1-3): July 10, 2006. Hard copy deadline (#1-4): July 14, 2006