Taming the Lost Heat:
Training and Research in Thermoelectrics
Application for Undergraduate Summer HEATER Fellowship
Section 1 – Applicant Information
Surname
Given Name
Student ID #
Email Address
Gender
Date of Birth (dd/mm/yy)
Woman
Man
Trans*
Citizenship Status as of January 1, 2017:
Canadian Citizen
Permanent Resident
International Student
Current address
Permanent address (if different from current)
If current address is temporary, indicate leaving date:
Telephone number:
Section 2 – Training Information
At time of application, are you attending university:
Full time
Part time
Applicant’s Program or Department, Faculty:
Supervisor Name:
Supervisor Title and Affiliation:
Supervisor’s Email Address:
Supervisor’s Phone Number:
Training Preference
Internship with University
Internship with Industry Partner
Section 3 – Industry Partner Information (if applicable)
Name:
Title, Department, Company
E-mail:
Phone Number:
Page 1 of 4
Taming the Lost Heat:
Training and Research in Thermoelectrics
Application for Undergraduate Summer HEATER Fellowship
Section 4 - Approvals
The undersigned agree to, and accept, the general conditions governing any award made pursuant to the sponsorship of
this application, as set out in the NSERC CREATE grants and awards guidelines, located at www.nserc.ca; as well as
all the conditions specific to this CREATE program that are listed on the last page of this application.
PRIVACY NOTICE ‐ NSERC requires Dr. Young-June Kim, CREATE Leader, to collect certain personal
information from trainees, team members (co‐applicants and collaborators) and other individuals participating in the
CREATE program. The purpose of gathering this information is to generate statistics that enables NSERC to report on
the CREATE program’s overall performance. Only information that is needed will be requested of the
applicants/supervisors. The personal information that is collected, used and disclosed is in accordance with the federal
Privacy Act will be shared with the CREATE program committee. The personal information may also be shared with
contractors hired to conduct data analysis, surveys or interviews on NSERC’s behalf.
_________________________________________________________
Applicant’s Signature
________________
Date
_________________________________________________________
Supervisor’s Signature
________________
Date
Section 4 – Academic History
List ALL postsecondary institutions you have attended whether or not you received a degree from
those institutions. In addition include your transcripts (unofficial copies are acceptable)
Degrees Completed or In
Institution
Started (mm/yy) Awarded/Expected
Progress
Section 5 – Scholarships, Awards and Bursaries
List all Scholarships, Awards, Bursaries, and/or other financial support you have received or
applied for. Indicate if the award has not yet been offered.
Name of Award
Type
Start Date/Duration
Value
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Taming the Lost Heat:
Training and Research in Thermoelectrics
Application for Undergraduate Summer HEATER Fellowship
Section 6 – Project Description – To be completed by the Supervisor/Industry Partner
The description should indicate the importance of the research to the field of Thermoelectrics.
Title of proposed research project
Location of Internship (University/Company Name)
Outline of proposed research project
Outline of the student’s role
_________________________________________________________
Applicant’s Signature
________________
Date
_________________________________________________________
Supervisor/Industry Partner’s Signature
________________
Date
Page 3 of 4
Taming the Lost Heat:
Training and Research in Thermoelectrics
Application for Undergraduate Summer HEATER Fellowship
Page 4 of 4