FORM 200 Application for an NSERC Scholarship or Fellowship COVER PAGE Type of Award Reference No. PGS M 125507452 AID CTTEE Date 2009/09/24 Family name of applicant Given name Scholz Paul Initial(s) of all Personal identification no. (PIN) given names PA ADDRESSES. Changes to any of the information below must be sent to [email protected]. Current address 3- 126 Ontario St Victoria, BC CANADA Permanent mailing address (if different than current address) V8V 1M9 If current address is temporary, indicate leaving date Telephone number at permanent mailing address Telephone number E-mail address Facsimile number 250 (208) 6495 NSERC will use this information as the initial point of contact. [email protected] CITIZENSHIP X Canadian citizen Permanent resident of Canada Indicate date of landing as stated on official immigration document Other Indicate country of citizenship LANGUAGE OF CORRESPONDENCE I wish to receive my correspondence in: X English French SIGNATURE (Refer to the instructions under the heading "What does my signature on the application mean?") I hereby agree that any award made to me as a result of this application will be subject to the general conditions governing scholarships and fellowships. These conditions are outlined in this Web site in the NSERC Program Guide for Students and Fellows, and Visiting Fellowships in Canadian Government Laboratories guide. Applicant's signature Form 200 (2009 W), Cover page Personal information collected on this form and appendices will be stored in the Personal Information Bank for the appropriate program. PROTECTED WHEN COMPLETED Version française disponible Not Completed Page 1 of 4 AID FORM 200 Application for an NSERC Scholarship or Fellowship Type of Award PGS M CTTEE Date 2009/09/24 Family name of applicant Given name Scholz Paul Initial(s) of all given names Personal identification no. (PIN) PA ACADEMIC BACKGROUND (include only current and past degree programs) Degree Bachelor's Name of discipline Combined Physics and Astronomy Form 200 (2009 W) Department, institution and country Physics and Astronomy / Victoria, CANADA PROTECTED WHEN COMPLETED Month and year started 09 / 2005 Month and year awarded/expected 04 / 2010 Version française disponible Page 2 of 4 AID Type of Award PGS M FORM 200 Application for an NSERC Scholarship or Fellowship CTTEE Date 2009/09/24 Family name of applicant Given name Scholz Paul Initial(s) of all given names Personal identification no. (PIN) PA ACADEMIC, RESEARCH AND OTHER RELEVANT WORK EXPERIENCE Position held and nature of work (begin with current) Full Time - Part Time Co-op Student - Full Time Calibrating optics of 16" telescope and CCD camera to be used to measure the CALIPSO laser. Organization and department University of Victoria Physics and Astronomy Co-op Student - Full Time Dr. Justin Albert Dr. David Andersen Co-op Student - Full Time Herzberg Institute of Astrophysics Dominion Astrophysical Observatory Dr. John Hutchings Joint Astronomy Centre Dr. Chris Davis Co-op Student - Full Time Development of web-based tool for access to processed WFCAM data. Analysis of WFCAM images. Shift Supervisor/Head of Safety - Full Time 05/2008 - 08/2008 01/2008 - 04/2008 09/2007 - 12/2007 Bulkley Valley Regional Pool Supervising a shift of lifeguards, instructors, and receptionists. Maintaining safety equipment. Form 200 (2009 W) 05/2009 - 08/2009 Herzberg Institute of Astrophysics Fitting H-alpha emission lines in Integral Field Dominion Astrophysical Observatory Unit data and fitting velocity fields to these data Data analysis of CFHT Megacam images of quasars. Period (mm/yyyy-mm/yyyy) Supervisor Michele Taylor 05/2006 - 08/2006 PROTECTED WHEN COMPLETED Version française disponible Page 3 of 4 Personal identification no. (PIN) Family name, given name and initial(s) of applicant Scholz, Paul PA AWARD APPLIED FOR Type of award Proposed starting date of award Postgraduate Scholarships - PGS M Proposed degree program (e.g. Bachelors, Masters, Doctorate) 2010/09 Proposed field of study/research Research subject code ASTRONOMY AND ASTROPHYSICS Master's 3200 Title of proposed research (not required for VF applicants) Feasibility of space-based absolute calibration sources List ten (10) key words that describe your proposed research. Use commas to separate them. (Not required for VF applicants.) astronomical instrumentation, systematic uncertainties, cosmology, dark energy, supernovae, space-based laser, PROPOSED LOCATION(S) OF TENURE (in order of preference) Institution/organization Program of study Department McGill Physics MSc in Astronomy University of Arizona Astronomy PhD in Astronomy Victoria Physics and Astronomy MSc in Astronomy Proposed supervisor SECTION TO BE COMPLETED BY PGS AND IPS APPLICANTS ONLY Indicate the total number of months of graduate studies (master’s and doctoral) you have completed as of December 31 of the year of application in the natural sciences and engineering. 0 0 months of full-time studies months of part-time studies Indicate the number of months of studies you have completed, as of December 31 of the year of application, in the program for which you are requesting funding. 0 0 months of full-time studies months of part-time studies Indicate if you are attending university at the time of application. X Attending full time Attending part time Not attending SECTION TO BE COMPLETED BY PGS APPLICANTS ONLY If you are offered an award, do you plan to take it up at a foreign university? X Yes No If you answered yes to the previous question, do you still want to be considered for an Alexander Graham Bell Canada Graduate Scholarship and an André Hamer Postgraduate Prize, both of which are tenable only in Canada? X Form 200 (2009 W) Yes No PROTECTED WHEN COMPLETED Version française disponible Page 4 of 4 FORM 200 Scholarships and Other Awards Offered Type of Award Personal Identification no. (PIN) PGS M Family name, given name and initial(s) of applicant Scholz, Paul PA SCHOLARSHIPS AND OTHER AWARDS OFFERED (start with most recent and include NSERC awards) Value Period held Name Nameof ofAward Award Level Type Location of tenure (CDN$) (yyyy/mm - yyyy/mm) Institutional, Academic, Provincial, Research, National, Leadership, International Communication Robert S. Evans Memorial Schol. President's Scholarship 1,000 Institutional Academic University of Victoria 2009/09 - 2010/04 500 Institutional Academic University of Victoria 2009/09 - 2010/04 Summer 3,000 Undergraduate Research Award Best Workterm 50 Report Institutional Research University of Victoria 2009/05 - 2009/08 Institutional Research University of Victoria 2008/01 - 2008/12 President's Scholarship 1,000 Institutional Academic University of Victoria 2006/09 - 2007/04 BC Provincial Exam Scholarship 1,000 Institutional Academic University of Victoria 2005/09 - 2006/04 President's Entrance Scholarship 2,000 Institutional Academic University of Victoria 2005/09 - 2006/04 Form 200 (2009 W) Version française disponible PROTECTED WHEN COMPLETED URGENT Please return to: APPENDIX 1 Report on the Applicant NSERC Scholarship or Fellowship (FORM 200) By date: (yyyy/mm/dd) Type of award Read the instructions before you complete this report. For PGS applicants, use this page only. For all other applicants, use one additional page if necessary. PGS M In accordance with the Privacy Act, this report will be accessible to the applicant. This report, including your name, may also be disclosed to organizations whose fellowships are administered by NSERC and to partner agencies that offer supplements to NSERC awards. Date Family name of applicant Given name Scholz Paul 2009/09/24 Initial(s) of all given names Personal identification no. (PIN) PA Comment on the applicant’s research ability/potential and on the applicant’s communication, interpersonal and leadership abilities. I have known the applicant in my capacity as Print respondent's for years. I have read the applicant's completed Form 200. Name: Title: Affiliation: Form 200 (2009 W), Appendix 1 Signature of respondent PROTECTED WHEN COMPLETED Version française disponible URGENT Please return to: APPENDIX 1 Report on the Applicant NSERC Scholarship or Fellowship (FORM 200) By date: (yyyy/mm/dd) Type of award Read the instructions before you complete this report. For PGS applicants, use this page only. For all other applicants, use one additional page if necessary. PGS M In accordance with the Privacy Act, this report will be accessible to the applicant. This report, including your name, may also be disclosed to organizations whose fellowships are administered by NSERC and to partner agencies that offer supplements to NSERC awards. Date Family name of applicant Given name Scholz Paul 2009/09/24 Initial(s) of all given names Personal identification no. (PIN) PA Comment on the applicant’s research ability/potential and on the applicant’s communication, interpersonal and leadership abilities. I have known the applicant in my capacity as Print respondent's for years. I have read the applicant's completed Form 200. Name: Title: Affiliation: Form 200 (2009 W), Appendix 1 Signature of respondent PROTECTED WHEN COMPLETED Version française disponible APPENDIX 3 Consent Form and Statistical Information NSERC Scholarship or Fellowship (FORM 200) Type of Award PGS M Date 2009/09/24 Family name of applicant Given name Scholz Paul Initial(s) of all given names Personal identification no. (PIN) PA CONSENT FROM THE APPLICANT If you wish to be considered for other types of NSERC scholarships or fellowships offered by the Canadian government, companies and/or associations or for the Canada-U.K Millennium Research Award as described in the Program Guide for Students and Fellows, you must complete and sign this form. By completing and signing this section, you agree to have your application (including Appendices 1) disclosed to the interested institutions (see the Access to Information Act and the Privacy Act, under Policies and Guidelines in the Program Guide for Students and Fellows ). PDF APPLICANTS I am eligible and wish to be considered for a Canada-U.K. Millennium Research Award. If your application is not successful but is judged to be meritorious, would you like to be considered for the Visiting Fellowships (VF) program? Industrial R&D Fellowships (IRDF) program? Note: Applicants interested in the IRDF program agree to have their name and the title of their proposed research posted on the NSERC Web site. SIGNATURE Applicant's signature How did you hear about this NSERC scholarship/fellowship program? Did you attend an NSERC Scholarships and Fellowships Programs information session at your university in the autumn of the year of application? Yes No OPTIONAL INFORMATION Information on gender and language capability is used for statistical purposes, and may be used to identify prospective NSERC peer reviewers. Information on certain designated groups (disabled, visible minority) is used by NSERC only for statistical purposes. Information on Aboriginal status is not seen by NSERC award selection committees; however, it may be used by NSERC to identify and make awards to Aboriginal applicants whose applications were judged to be meritorious, but which could not be recommended initially because of budget limitations. None of the information collected will be released to persons outside NSERC. For more information, see the Access to Information Act and the Privacy Act. GENDER (completion optional) X Male DESIGNATED GROUPS (completion optional) Female Aboriginal Visible minority Disabled LANGUAGE CAPABILITY (completion optional) English French X Read Read Form 200 (2009 W), Appendix 3 X Write Write X Speak Speak PROTECTED WHEN COMPLETED Version française disponible Form 200 - Application for an NSERC Scholarship or Fellowship Reference Number: 125507452 Applicant: Paul Scholz Program: Postgraduate Scholarships - PGS M Application Title: Feasibility of space-based absolute calibration sources Paper Attachment(s) Reference Letters Dr. Justin Albert, University of Victoria Dr. David Andersen, HIA
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