COMPARATIVE PROGRAM ON HEALTH AND SOCIETY
MUNK SCHOOL OF GLOBAL AFFAIRS AT THE UNIVERSITY OF TORONTO
Lupina Senior Doctoral Fellowship—Application
FOR FELLOWSHIPS COMMENCING FALL 2015
INSTRUCTIONS:
Your application for a Lupina Senior Doctoral Fellowship must include all applicable
documentation listed below (items I to IV). These documents should be submitted together as
one application package. The application package must be received by Friday, May 29, 2015.
Please address the application package to:
Fellowship Application
Comparative Program on Health and Society
Munk School of Global Affairs,
University of Toronto
1 Devonshire Place
Toronto, Ontario
M5S 3K7, Canada
DOCUMENTS TO INCLUDE:
I.
Lupina Senior Doctoral Fellowship Application Form – The Application Form is found
below as a fillable PDF. Please note: the information you enter into the form may not
save. Therefore, you must fill out all of the information at once and then print it off.
The 250 word limit will be strictly enforced - any additional text will not be
considered and may render your application ineligible.
II. Current Curriculum Vitae
III. Residency During the Award Period – If you anticipate that you will be away from Toronto
during the academic year of the award, in a paragraph please indicate when and for
how long you anticipate being away. Absences over three weeks in length during the
academic term may render you ineligible.
IV. Copy of Letter of Award - Include a copy of the letter indicating that you are the
successful holder of a 2015/2016 doctoral fellowship.
Comparative Program on Health and Society
Fellowship Start Date
2015
Name
Lupina Senior Doctoral Fellowship
Application
Last
DO NOT Fill in Above Space
First
Initial
E-mail Address
Phone
Numbers
Mailing Address
Home
Office
Current Year in
Program
Expected
Completion Date
Current Dept. &
University
Status of Doctoral
Program
Requirements
Not
Started
In Progress
Completed
Coursework
Comprehensive Exams
Dissertation Proposal
Dissertation
1-Supervisor
Dissertation
Committee
Members
Dissertation
Title
Plan of Study
(250 word
maximum; any
additional text will
not be considered
and may render
your application
ineligible.)
Name
Department
University
Phone
Email
2-Member
Available on Wednesday
mornings for CPHS
Seminars?
Available to participate in
CPHS activities during
award period?
3-Member
Yes
No
Yes
No