Research Application Form

  • Research Position Application Form
  • Applicant's Personal Details

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  • PERSONAL DETAILS

  • Title - Column End

  • Surname - Column Start

  • Surname - Column End

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  • Forename - Column Start

  • Forename - Column END

  • DOB/Gender - Column Start

  • Date Format: MM slash DD slash YYYY

  • DOB/Gender - Column END

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  • Country - Column Start

  • Country - Column END

  • Qualification - Col Start

  • Qualification - Column End

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  • Field - Column Start

  • Field - Column End

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  • Profession - Column Start

  • Profession - Column END

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  • ADDRESSES - New Row

  • Address For Correspondence

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  • HOME INSTITUTION ADDRESS

  • Address Of Home Institution

  • Home Institution Address - END

  • Residential Address

  • RESIDENTIAL ADDRESS

  • RESIDENTIAL ADDRESS END

  • PUBLICATIONS SECTION - New Row

    Please share up to three key publications (which should also be included in the publications list submitted with the CV)
  • Publications
    Please share up to three key publications (which should also be included in the publications list submitted with the CV)

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  • PUBLICATION 1

  • Journal of Publication
  • Date Format: MM slash DD slash YYYY
    Date that the publication was/will be published.

  • Publication 1 End

  • PUBLICATION 2

  • Journal of Publication
  • Date Format: MM slash DD slash YYYY
    Date that the publication was/will be published.

  • Publication 2 Ends

  • PUBLICATION 3

  • Journal of Publication
  • Date Format: MM slash DD slash YYYY
    Date that the publication was/will be published.

  • PUBLICATION 3 END

  • REFERENCES - New Row

  • References

  • Please provide the information requested below for at least two referees.

    Please note that all letters of reference must be on institution letterhead and must be signed by the referee.

    All letters of reference must be received no later than the application deadline.

  • Reference #1

  • REFEREE 1:

  • Referee 1 End

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  • Reference #2

  • REFEREE 2:

  • Referee 2 End

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  • Reference #3

  • REFEREE 3:

  • Referee 3 End

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  • Reference #4

  • REFEREE 4:

  • Referee 4 End

  • Candidates should arrange for at least two letters from senior researchers to be sent directly to the QLA Program Coordinator Ms Molly Mutesi at mmutesi@quantumleapafrica.org. Letters have to be received by the application deadline

  • SUPPORTING DOCUMENTS

  • SUPPORTING DOCUMENTS
    Please note all applications are to include:
    • CV (including a list of publications)
    • Research statement (3-7 pages including references)
    • PDF documents of 3 key publications (published or submitted for publication). They should also be listed as part of the publication list above.
    • Other supporting documents

  • SUPPORTING DOCUMENTS

  • Accepted file types: pdf, txt, jpg, png, doc.
  • Accepted file types: pdf, txt, jpg, png, doc.
  • Accepted file types: pdf, txt, jpg, png, doc.
  • Accepted file types: pdf, txt, jpg, png, doc.
  • Accepted file types: pdf, txt, jpg, png, doc.
  • Accepted file types: pdf, txt, jpg, png, doc.
  • Accepted file types: pdf, txt, jpg, png, doc.