Applicant Information s6

BRAIN RESEARCH NEW ZEALAND Eru Thompson Māori Postdoctoral Fellowship Application For further information please contact [email protected] Closing date for applications to BRNZ: 25th of August at 5pm

NB: Applications must be submitted as a PDF to your Research Office by the internal date communicated by the relevant Research Office.

APPLICANT INFORMATION Name PO Box/Street number Suburb City Country Telephone Mobile Email

Personal Details Date of Birth Male Female Nationality Present Position and step on salary scale (if relevant) Proposed Start Date Full time or part time (insert FTE)

Project title (maximum 160 characters)

Institution(s) where the proposed research will be undertaken University Department

Tribal Affiliation Iwi Hapū

Academic Support: Primary Supervisor(s) and other Investigators on this research (if applicable) Title, first name, surname Role (NB. Co-supervision is Institution/Organisation/Iwi recommended) Application Summary (500 word limit; Include career goals, and research project objectives, principal methodologies and potential health outcomes (if applicable) and relevance to Māori.

Media Summary of Research: (200 words maximum) – Explain the project, and its significance to neuroscience, in language understandable to the public as a press release.

Māori cultural heritage: Briefly describe your whakapapa and any involvement you have in Māori cultural or community activities. Note any previous leadership or research engagement relevant to Māori. (1 page maximum)

Career Plans: Briefly describe your background and career plans; specifically describe how the Māori Postdoctoral Fellowship award will support your career plans (1 page maximum)

NZ Standard CV - Applicant

PART 1 1a. Personal details of Applicant Full name Title First name Second name(s) Family name

Present position Organisation/Employer Contact Address

Postcode Work telephone Mobile Email Personal website (if applicable)

1b. Academic qualifications (please include the date each qualification was, or will be conferred).

1c. Professional positions held

1d. Present research/professional speciality

1e. Total years research experience 1f. Professional distinctions and memberships (including honours, prizes, scholarships, boards or governance roles, etc)

1g. Total number of peer reviewed publications and patents Journal articles Books, book Conference Patents Other chapters, books proceedings edited

PART 2 2a. Research publications and dissemination history Peer-reviewed journal articles

Peer reviewed books, book chapters, books edited

Refereed conference proceedings

Patents

Other forms of dissemination (reports for clients, technical reports, popular press, etc)

Please list any other awards/publications deemed relevant to your research (half a page maximum).

Overview of Proposed Research (eight page limit). A summary of the proposed research, structured under the following headings. This section should contain some input from, and verification by, your proposed Supervisors. Please note that the Aims and Objectives, Timelines and Key Milestones will be used to form the basis of the contract if the application is successful. Do not change the formatting of the sections. Overview of research/work previously undertaken by the applicant

Background, Aims and Objectives of the current project

Research design and methods

Key milestones (6 monthly)

Research outcomes and impact for the field

Māori health significance

Dissemination of results

If relevant, an indication of iwi/hapu support for the research. Include any plans to engage with Māori participants and Māori communities in research

REFERENCES: Asterisks are to be placed beside the applicant’s publications. Provide references in full and state full authorship (for example not Smith et al). Endnote lists must be copied into a plain text editor before pasting here.

Page 7 BUDGET (paste budget from Excel template here)

Note:  Please include 0.05FTE for total supervisor time per annum.

 BRNZ will provide up to $10,000 per annum in project working expenses.

COMMENTS FROM THE PROPOSED HEAD OF DEPARTMENT Applicant’s name Research title Proposed Supervisor University Department Report from the Head of the supervising Department in which the postdoctoral studies will be accommodated. Comment on the facilities and the supervision available for the applicant in relation to the research goals. Note that the Postdoctoral Fellowship funds salary and $10,000 per annum in working expenses. The host institution must be able to support additional research costs (equipment, consumables, travel costs, animals etc.) or have a strategy for obtaining any additional funding necessary to complete the research.

Please also attach a separate letter of support from your main supervisor with this application.

Co-Funding: State which, if any, other agencies or end-users have been approached or committed to joint or partial funding of this research (give budget totals for each):