Expression of Interest Submission Form
Closing Wednesday, 08 July 2020, 11:59pm AEST
Welcome
Please remember to refer to the EOI instructions while you are completing your submission. These are available on the UTSCPDRF web page
Your EOI application document can be submitted once only. No further changes are possible after this form is finalised andyour EOI is submitted.
For any questions, please email [email protected].
I acknowledge that if my submission is incomplete at the submission deadline, it will not be forwarded to the nominated host
Faculty for assessment.
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I agree and would like to proceed.
The information collected in this form will be exclusively used to administer the CPDRF application process, in accordancewith the UTS CPDRF Privacy Statement. For any queries, changes to your registration details after submission or if youdecide not to proceed, please email [email protected].
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Applicant Information
Title (e.g. Dr, Ms, Mr):
Given Name(s):
Family Name:
Candidate Name:*
Email Address:
Email Contact:
Important: Please ensure your email address is valid and accessible, as it will be used for all officialcorrespondence. You are advised to configure the spam filter (if any) not to block emails from thedomain uts.edu.au and surveymonkey.com, otherwise you may not receive essential correspondence.
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Phone:
Phone Contact:
Please provide a phone number on which you may be contacted for urgent matters (mobile preferred).Please include the country code, e.g. +61...
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Title (e.g. Dr, A/Prof, Prof):
Given Name(s):
Family Name:
Fellowship Supervisor
At the time you lodge your EOI, your proposed UTS CPD supervisor must have agreed to support your application. Please note: it is
not possible to change supervisors without a valid reason, or to nominate more than one supervisor.
My nominated Fellowship Supervisor at UTS is:
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UTS Faculty (or equivalent)This will be the same Faculty that your nominated UTS supervisor belongs to.
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Please select the Fellowship you are applying for:
It is important you refer to the relevant guidelines before making your selection. Note: You can only applyfor one Fellowship program.
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Chancellor's Postdoctoral Research Fellowship 2021
Chancellor's Postdoctoral Indigenous Research Fellowship 2021
Right to Work:Do you currently have the unrestricted right to work in Australia, covering the full duration of the four yearfixed term contract?
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Yes, I am an Australian or New Zealand citizen
Yes, I am a permanent resident of Australia
I currently hold a temporary Australian visa for the duration of the fellowship
None of the above - candidates are not eligible to apply. Please contact [email protected] for further information
Country of Citizenship:
Visa subclass:
Expiry date:
Please provide the following information:
You must have the unrestricted right to work in Australia covering the full four year fixed term contractperiod to be eligible to apply. EOIs will be assessed for this criteria, and candidates who do not meet thiseligibility requirement will not proceed.
Please confirm your PhD award status as of today:*
PhD has been awarded
Awaiting conferral of PhD
Thesis has been submitted - under examination
Thesis will be submitted later this year
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PhD Qualification - Awarded
Date / Time
Date
DD/MM/YYYY
When were you officially awarded your PhD?
For the purpose of this application, this is the date your PhD testamur was issued.The date must be on or before 08 July 2020, otherwise, go back and selected 'PhD not yet awarded'
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Do you wish to request an eligibility exemption?
If your PhD was awarded on or after 1 July 2015, you will not require an exemption - select 'No'.If you select 'Yes', you will be contacted by UTS to make a case for eligibility exemption.
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Yes
No
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Eligibility Exemption
No file chosen
Please upload your completed CPD Career Disruption Eligibility Request
This document can be downloaded from the CPDRF 'How to Apply' page
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PhD Qualification - Prospective
PhD submission date (required for all options - DD/MM/YYYY):
Since you have not yet officially received your PhD degree, please select an option that best describes your circumstances as of the EOI closing date (08 July 2020):
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I plan to submit my PhD thesis later this year.
I have submitted my PhD thesis for examination, and I am currently awaiting the outcome.
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The information requested on this page is required for administrative purposes only and will notbe forwarded to the assessors of your application.
Additional Information
GenderThis information is optional and only required to assist the university in monitoring the UTS ResearchEquity Initiative.
Female
Male
Not specified
Are you applying for the Fellowship on a full-time or part-time basis?*
Full-time
Part-time
Undecided
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Please tell us where you first saw an advertisement or heard about the UTS Chancellor'sPostdoctoral Research Fellowships:
Referral from PhD or postdoctoral supervisor
Referral from other colleagues
Faculty newsletter
UTS website
SEEK
Research Career
Jobs.ac.uk
PostdocJobs
Research Gate
The Chronicle
Scholarship Positions
Sciencemag.org
Other (please specify)
UTS Staff ID, if known:
Are you currently, or have you previously been, employed by the University of Technology Sydney?
Yes
No
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Project Title & Summary
Project Title
Please provide a short, descriptive title of your proposed project in up to 100 characters (approx. 12 words). Avoid discipline-specific
terms and abbreviations.
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Project SummaryPlease provide a summary outlining the proposed project (maximum 700 characters or approx 100 words).
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Proposed Fellowship Project
No file chosen
Proposed Fellowship Project
Upload a document of no more than two A4 pages and in the format prescribed.
Use this section to promote your proposed Fellowship project to the Faculty Selection Committee. Refer tothe guidelines and instructions for requirements.
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Choose File Choose File
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Selection of Supervisor and UTS
No file chosen
Selection of Supervisor and UTS
Upload a document of no more than one A4 page and in the format prescribed. Selection of supervisor -Refer to the guidelines and instructions for requirements.
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Choose File Choose File
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Curriculum Vitae
No file chosen
Curriculum Vitae
Please upload your document (1 page maximum, 12pt font only). Curriculum Vitae - Refer to theguidelines and instructions for other requirements.
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Research record relative to opportunity
No file chosen
Research Record Relative to Opportunity
Upload a document of no more than one A4 page and in the format prescribed. Research record relativeto opportunity - Refer to guidelines and instructions for additional requirements, including the sections thatshould be addressed.
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Choose File Choose File
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Research Outputs
# ofpublications
# of citations(excl. self)
# ofpublicationsas leadingauthor
# ofpublicationssince PhDaward date
Scholarly Books
# of publications
# of citations (excl. self)
# of publications asleading author
# of publications sincePhD award date
Scholarly Book Chapters
# of publications
# of citations (excl. self)
# of publications asleading author
# of publications sincePhD award date
Refereed Journal Articles
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# of publications
# of citations (excludingself-citations)
# of publications asleading author
# of publications sincePhD award date
Refereed Conference Papers
Source of publication count - select one only*
Scopus
Web of Science
Microsoft Academic - not permitted for Candidates in FEIT, FoH, GSH and SCI
Google Scholar - not permitted for Candidates in FEIT, FoH, GSH and SCI
Not applicable - No research outputs have been recorded
Date / Time
Date
DD/MM/YYYY
Date of bibliometrics data retrieval
Additional Commentary2000 character limit (approx 300 words)
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Research Outputs Cont.
If you do not have anyoutputs, please just addN/A to this field
'Top 10' Career-best Research Outputs
List up to ten of your publications which you consider the best of your career.
Each output summary can be up to 200 characters long.
1
Output Summary
2
Output Summary
3
Output Summary
4
Output Summary
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5
Output Summary
6
Output Summary
7
Output Summary
8
Output Summary
9
Output Summary
10
Output Summary
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Confirmation
1 . All information provided in this online form and in the attached documents is complete and correct. The EOI cannot be updated oramended once it has been submitted.
2. Upon request, I will provide supporting documents to substantiate my responses.
3. My nominated Fellowship Supervisor has agreed to support my application without reservation, and I agree that related outcomecorrespondence will be shared with them and the host faculty or equivalent.
By finalising my EOI submission, I certify the above:*
Yes
No
Any short, administrative notes in relation to your application may be provided here (will not be forwarded to the Selection
Committee). If you have a question that requires a response, please email [email protected].
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Submission
Thank you for completing the online EOI submission for the UTS 2021 Chancellors Postdoctoral Research Fellowships! You will be notified once the EOI has been received.
The announcement of EOI outcomes is tentatively scheduled for 17 June 2020.
Please click 'Submit' below to process your EOI
If you decide to withdraw your application for any reason, we would appreciate if you could please promptly notify us [email protected]
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