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Hospital
Research
Foundation

Psychiatric Hospital

Research Centre
Jobs and Internships
Application for a research internship

About the FSRC
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Application for a research internship

* Required fields

Family name *

First name *

Address *

City *

Postal Code *

Province/State *

Country *

Email *

Telephone number (home) *

Telephone number (other)

Institution and faculty *

Discipline *

Academic or training level *

Have you received a bursary? *

Yes

In the affirmative,
please elaborate:

I am applying in response to an internship offered on the CRFS site: *

Yes

In the affirmative, please elaborate:

Title of the research internship:

Name of the researcher:

How did you learn about this research internship?

Otherwise, please elaborate:

What are your interests and expectations or the fields of research which interest you?

Have you contacted a potential supervisor at the CRFS?

Yes

In the affirmative, please elaborate:

Type of fellowship requested? Summer research program
Research experience during residency
Master or doctorate level training experience
Overseas training experience
Other

If other, please elaborate:

Nature of the fellowship: Research only
Combined research/ clinical

Duration and approximate dates of the fellowship: *

Obligations of the supervisor with respect to the academic program: *

What motivates your application for a fellowship experience at the CRFS, preferences and interests? *

What is your availability as regards the schedule during the fellowship? *

Annex my CV (max 4mb): :*

Annex my transcript (max 4mb): :

Annex my diplomas (max 4mb): :

Annex my publications (max 4mb): :

If you cannot annex your transcript, these may be requested at a later date.

Send my application

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