X FORM 200 Application for an NSERC Scholarship or Fellowship

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.
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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
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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
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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
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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
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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