How to Apply for a HASEKURA FELLOWSHIP

Draft date: July 30, 2007 Revision date: October 31, 2007

The HASEKURA FELLOWSHIP is to support young researcher international exchanges based on the global

COE "Basic & Translational Research Center for Global Brain Science".

1. An application made by a Tohoku Neuroscience Global COE Center member is acceptable. 2. The cost for sending the laboratory staff and the student of a Center member overseas, and inviting a researcher (including a post-doctoral researcher) and student from overseas to a Center member's laboratory. 3. For the sending/invitation of a short period (within two weeks) and the medium period (from two weeks to three months), traveling expenses, hotel expenses, and daily allowance, if necessary, are provided. If it is three months or longer, only international airline round trip travel expenses are given. 4. Participating and making presentation at an academic meeting, doing joint research investigations, and entering into graduate school are covered by this fellowship. If the candidate participates in an academic meeting, he or she must be a presenting author that is the first or the equivalent. Specify the title and all the author names of the paper to be presented in the Schedule of the researcher to be sent/invited. 5. When applying, write the necessary information in the prescribed form, with the signature or seal of the Center member, and submit it to the person in charge in the Center two months before the planned date for sending/inviting. (Received at any time) 6. The pass or fail is notified to the applicant after the International Linkage Committee examines the application. The applicant should submit the schedule (Form 1-5), the estimate for an airline ticket (based on the cheapest economy class) to the person in charge. The people who are sent must join the overseas travel insurance that covers the whole travel period. For the staff and RA, since they are guaranteed by the workpeople's accident insurance, new enrollment is unnecessary. 7. The activity report (based on the form defined separately) must be submitted through the relevant Center member within two weeks (for short period) or one month (for medium period) after the end of the work. The report serves as data in the examination at the next application. ８．If there are any questions, please ask the Center secretariat or Yamamoto (in charge of international relations (Secretary Mitsuyama). ([email protected] or [email protected]) Form 1-1 20 GCOE HASEKURA FELLOWSHIP Application Form

Circle the applicable section, and fill out the necessary information. Application yy mm dd Receipt No. Date 20 Classification Sending/Inviting Candidate Staff Assistant Prof./Assistant/P.D./other ( ) Classification Short period/Medium period Student D3 or higher/D2/D1/other ( )

Applicable group name of GCOE Genomic Behavioral Neuroscience / Cognitive Neuroscience/Social Neuroscience

I would like to send/invite the following person. [Applicant (researcher who accepts)] 1. Applicant (Person (Kanji, etc.) Seal/Signature Note: Be sure to sign your name or seal. Responsible) Name (Romanji) (Family name) (First name) 2. Division name Grad. Sch. Life Sci., Grad. Sch. Med., Inst. of Devel. Aging and Canc., Grad. Sch. Eng.

3. Official title (Japanese) (English) 4. Contact Zip code:

Phone: (Ext.) Fax: e-mail :

5. Assignment (Japanese: 40 characters or less､”()”, “｡”, etc. are counted as one character.) *Please note that it is not 40 words. Chemical formula and mathematical formula cannot be used. (English: 100 characters or less､ “()”, “.”, etc. are counted as one character.) *Please note that it is not 100 words.

6 Period to be sent/invited From , 20 to , 20 ( ) days [Candidate for Sending//Inviting] For items with ✳, entry is required only for invitation. 7. Name (FAMILY) (First) (Middle) (Kanji) 8. Nationality✳ 9. Organization name to (Japanese) which the candidate to be (English) sent or from which invited 10. Division name (Japanese) ✳(Note 1) (English) 11. Present position (Japanese) (English) name✳ 12. Country where (Japanese) 13. Major ✳ organization exists 13. Last degree✳ (Classification) 1. Doctor 2. Other ( ) (Acquisition date) 14. Past recipient 1. Yes. Adopted as the 20 HASEKURA FELLOWSHIP invitation researcher. (short 2. No. period/medium period. 15. Contact (Main contact [Address for papers related to the candidate]) 1. Organization 2. Home Fill in both organization (Organization (English)) (City, State) (Zip code) (Country) and home. Phone:: Fax: (Note 2) (Organization (English)) (City, State) (Zip code) (Country) Phone: Fax:

Note 1: When participating in an academic meeting, the name should be filled in.

Note 2: For internal candidates, fill in the school mail box code and the school box mail box name instead of the organization name. Form 1-2 = Sending/invitation researcher (candidate) =

Name (FAMILY) (First) (Middle)

[Main school education (university or later)] Degree Acquisition year

[Main work experience]

[Award history (Award year)] (Note: Fellowship is not included. Award year should be filled in ().)

[Outline of the research that the researcher to be sent/invited is doing]

[Research achievements of the researcher to be sent/invited] (Titles of the representative work, papers with the published journal names and date. Within 10 titles.) Form 1-3 [Progress of preliminary negotiations for invitation]✳ (Please include how many times the candidate came to Japan and what language does he/she use.)

=Invitation plan = [Outline of the research which the applicant (Name: ) is doing and relationship to the researcher to be invited]

[Researchers mainly cooperating during the stay]✳ Name Organization Position Division/Major Organization code ﾞ Form 1-4 [Schedule of the researcher to be sent/invited] (Specific programs, such as concrete contents about research debate and exchanges of opinion, lectures, etc. in the research institute and places to be visited, etc.)

[Contribution to progress of the sciences in our country and foreign countries with this support]

[Prospective on living facilities such as accommodations for the invited foreign researcher] ✳

[Other matters]

(City where there is an international airport that the candidate will use ) Form 1-5 Schedule (For sending to a foreign country) Date Place to be visited Organization to be visited Length Objective (Country) (Venue and city) of stay