Scholarship Application Form - Elena Iliopoulou Giama Cancer Research & Scholarship Foundation

Personal Information

Full Name *

Date of Birth *

Nationality *

Marital Status *

ID *

Contact Details

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Parents Information

Father's Full Name *

Mother's Full Name *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country

Phone

Family Income Certificate *

Studies

Secondary Education

School *

Graduation Year *

Grade *

Undegraduate Studies

School *

Degree *

Starting Year *

Graduation Year *

Grade *

Postgraduate Studies

Starting Year

School *

Degree *

Graduation Year *

Grade *

Distinctions / Awards / Scholarships

University/Foundation *0 / 550

Training Stage *0 / 550

Date

Destination University/ Institution

Name of University / Institution *

Country

Research Theme *

Duration (in years) *

Start Date *

Have you applied to another institution/ organization for a scholarship for the same academic year? *YesNo

Please indicate to which university

Financial Needs

Total estimated academic fees per year *

Total estimated expenses for research consumables and outreach activities per year *

Total estimated personal expenses per year *

Asking scholarship amount per year *

Asking scholarship amount for the whole duration of studies/research *

Course/Research details

Please include letter of acceptance from University/ Research Institution *

Summary of PhD/ research proposal *0 / 550

Curriculum Vitae

Please upload your CV *

References

One from your PhD professor *

One from your previous studies *

Research Experience

Publications

Foreign Languages

Language & Level/ Degree

Personal Statement

*Please write a personal statement about why you chose the subject of your PhD/ research and why it is relevant to your future goals. Also, why you are applying for this scholarship and some intriguing details about yourself *0 / 500

Please advise if you have fulfilled your military services *Yes I haveNo, it is pendingDoes not apply

I confirm attaching the following files *Family Income CertificateLetter of Acceptance from University/Research InstitutionMy Curriculum VitaeReference from my PhD ProfessorReference from my last studies