<p> Application Form</p><p>All-Ireland Cancer Consortium</p><p>NCI Summer Curriculum in Cancer Prevention 2015</p><p>Background: The Al-Ireland Cancer Consortium aims to provide world-class cancer care to people on the island of Ireland and, to this end, participates in a range of educational programmes. As part of the 2015 Consortium activities, the Health Research Board, in association with the National Cancer Institute in the US and the HSC R&D Office in Northern Ireland, invites applications for the prestigious NCI Summer Curriculum in Cancer Prevention programme.</p><p>Available Courses:  Principles and Practice of Cancer Prevention and Control. This four-week summer course provides specialized instruction in the principles and practice of cancer prevention and control. It focuses on concepts, issues, and applications related to this field. Participants will gain a broad-based perspective in terms of available resources, and scientific data. For an overview of course offerings, please see the 2014 Principles Course syllabus. </p><p> Molecular Prevention. This one-week course on molecular aspects of cancer prevention provides a strong background in molecular biology and genetics of cancer and an overview of basic laboratory approaches applied to cutting-edge research in the fields of molecular epidemiology, chemoprevention, biomarkers, and translational research. For the most recent course offerings, please see the 2014 Molecular Course syllabus.</p><p>Eligible Applicants: Applications are invited from health-related researchers and practitioners working in the Republic of Ireland who have an interest in cancer prevention and control. Applicants can apply for one or both of these courses.</p><p>Course Dates and Location: Principles and Practice of Cancer Prevention and Control will run from 6 to 31 July 2015. Molecular Prevention will run from 3 - 7 August 2015. Both courses take place at the National Cancer Institute, Rockville, Maryland, US. Cost: The National Cancer Institute provides these courses free of charge for participants from Ireland. Successful applicants will have a return economy flight to the US, accommodation costs and a small per diem paid by the Health Research Board. This cost contribution is only available to course participants applying through the Health Research Board.</p><p>Website: More information is available on the NCI website: https://cpfp.cancer.gov/summer/summer.php </p><p>Applicants may apply for one or both courses. An eligible application consists of a completed application form (below) and a signed letter of support from the applicant’s employer.</p><p>All forms must be completed in Calibri Font size 11. All sections of the form must be completed in full and within the page limits set. Applications must arrive no later than 1pm on Friday, 16 January 2015. </p><p>Please submit applications by post or email to:</p><p>Angelena Rea NCI Summer Curriculum Health Research Board Grattan House 67-72 Lower Mount Street Dublin 2</p><p>Telephone: +353 1 2345 104 Email: [email protected] </p><p>2 All-Ireland Cancer Consortium</p><p>NCI Summer Curriculum in Cancer Prevention 2015</p><p>APPLICATION FORM</p><p>Name of Applicant: Male/Female: Present Position:</p><p>Department: Institution: Address:</p><p>Telephone Number: Mobile Number: Email Address:</p><p>Course(s) applying for: (please mark with an “X”) 1 Principles and Practice of Cancer Prevention and Control 6 to 31 July 2015</p><p>2 Molecular Prevention 3 to 7 August 2015</p><p>Please outline the reasons why you would like to attend this course(s) (maximum two typed pages)</p><p>3 Provide a brief Curriculum Vitae (maximum two typed pages). </p><p>4 How do you plan to use the knowledge gained from the Curriculum when you return to your home country? (maximum 300 words)</p><p>5 All-Ireland Cancer Consortium</p><p>NCI Summer Curriculum in Cancer Prevention 2015</p><p>LETTER OF EMPLOYER SUPPORT</p><p>Letter of support for applicant: (maximum of one printed page)</p><p>Employer Name: ______</p><p>Present Position: ______</p><p>Signature: ______</p><p>Date: ______</p><p>6</p>