Application form

You may apply for a 2018 Soulsby Fellowship between 1 October 2017 and midnight (GMT) on 31December 2017.

Please apply online using the form below or download the form using these links:

Download and print the application form (Microsoft Word format) ↓

Download and print the application form (Adobe PDF format) ↓

  • Name of applicant


  • Contact details


  • Affiliated Institution

  • Please provide details - employee/registered student/other (please specify)

  • Qualifications and professional experience

  • Please include institutions and dates – degrees, diplomas, post graduate experience
  • Add further lines using the + symbol to the right
    DatesEmployer/OrganizationPosition 
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  • Please list up to FIVE of your key publications or presentations relevant to this application

  • Project

  • Please describe (in no more than 700 words) how you propose to use the Soulsby Fellowship, how the experience will enhance your career and how the project will promote and impact the concept of "One Health" internationally. Please indicate any relevant contacts you have already established but do NOT try to attach any evidence. This evidence may be requested by the Trustees if your application is short-listed.
  • Please describe (in no more than 200 words) why your life experiences make you a good candidate for a Soulsby Fellowship

  • Budget

  • Add further lines using the + symbol to the right
    ItemAmount 
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  • Please note:

    The Fellowship award will be made in UK £ sterling. Allowable expenses may include: economy travel (airfares and any transfers), visas, insurance and accommodation.

  • Please list potential sources of further or matching funds, indicating whether a decision has been made and/or whether the award is contingent on your succeeding with this application. Add further lines using the + symbol to the right.

    OrganizationAmount requestedExpected decision dateNotes 
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  • References

    Please give below the name and contact details of two people who may be asked to act as referees for you. They will be expected to have authoritative and personal knowledge of your professional achievements / competencies. If you are short-listed, referees may be contacted directly by the Soulsby Foundation.

  • Referee 1


  • Referee 2


  • Please complete your application and submit it no later than midnight (GMT) on Sunday 31 December 2017

    Before submitting this application, please read the guidelines to make sure you are a qualified applicant.

  • Please tick this box to confirm you accept that the Soulsby Foundation will hold the information you submit and may share this information solely for the purposes of assisting you with your enquiry or application.
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