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Introduction to Principles in Laboratory Management and Equipment Operations Training Workshop

Date:11 - 15th July, 2016

Application Form
Please complete all the fields with asterisk (*) :
* Firstname
* Surname
* Nationality
* Country where you are currently employed or studying
* Gender Male: Female:
* Name of Institue and Department
* Your current position
(e.g. Student, Postdoc, Scientist)
* Office telephone number
* Mobile telephone number
* Email
Link to Institutional website
(if available)
* Full institute mailing address
* Are you currently studying for a higher degree? State which degree (MSc. or PhD.)
* English language proficiency-Written
* English language proficiency-Spoken
* Briefly describe your speciality / research area (maximum 250 words)
* Brief description of your research interest, experience and why you want to participate in this training workshop:
(250 words maximum)
* Please list the titles and funding sources of research projects that you are currently working on:
(250 words maximum)
* Brief description of your current role(s) in laboratory management and equipment operations in your department or institution
(250 words maximum)
* Describe your role(s) at your institution and how exactly this training would benefit your research programme, department and institution as a whole (e.g., how will you use the skills in research or in training)
(250 words maximum)
* Examples of your recent publications:
(5 maximum)


* Have you previously attended a BecA workshop or received a BecA-Africa Biosciences Challenge Fund Fellowship? Yes: No:
If YES, give details:

* Do you have access to the following equipment/resources at your home institute?
(check boxes that apply)
Agarose gel electrophoresis equipment:
Gel documentation system (UV transilluminator, camera, computer):
PCR thermocycler:
Wet ice maker:
Liquid Nitrogen:
+ 4oC fridge or cold room:
- 20oC Freezer:
- 80oC Freezer:
Pipettes for volumes in the range 1ul to 1ml:
Spectrophotometer (UV/VIS):
Water bath(s):
Incubator cabinet (37oC):
Autoclave:
pH meter:
Magnetic stirrer:
MilliQ pure water supply (or equivalent):
Easy access to supply of reagent for molecular biology:
Funds to purchase reagents for molecular biology:
Good internet connection:
Reliable electricity supply:



*Curriculum Vitae
Upload CV using the attached format.

Workshop Applicant CV Format (click to download) (maximum 1500 words or 2MB):

*Letter of nomination/recommendation
Please upload a signed and dated letter of nomination/recommendation for your application, obtained from the head of your department or institute.
(maximum 1500 words or 2MB)

The letter must:

• Include an institute letterhead;
• Confirm that the applicant is a full-time member of staff or have a strong affiliation with the institute;
• State the role of the applicant at the institute;
• Describe how the workshop would benefit the applicant, their research program, and their department and institute;
• State that the head of the department/institute has read and understood this application in its entirety;

Please name the file ‘LoN’ and include your name, e.g. LoN-Mercy Kenga.pdf