HBIC Award Application Form

L’organisation de cette initiative se déroule uniquement en anglais.

  • BEFORE COMPLETING THIS FORM

    We kindly ask that you review the application instructions before completing this form. For reasons of privacy, this form does not offer a "Save and Continue" feature as this involves storing personal information on our servers without your express consent.

    IMPORTANT: We recommend that you review the form and prepare the elements of your submission in advance, and return to complete the form once all your elements are ready.

    If you have comments or other questions concerning this application, please contact the HBIC Award Team at H.B.InternationalAward@gmail.com.

    For technical assistance, please contact the IBTN web team at help@ibtnetwork.org.

Applicant Information
  • Full Name * Requis
  • Please indicate your title (e.g. (e.g. Dr., Mr., Mrs., Ms.).
  • Please indicate the main institution at which you are currently employed or studying.
  • Please indicate your current position at your home institution.
  • Please indicate the date on which you received your most recent degree.
  • Conferral must be within 5 years from application closing date, i.e., May 1st 2014, excluding career interruptions such as parental leave, or part time status due to family commitments.

    Please provide description of career interruptions, if required (maximum 1000 characters):

  • Please indicate your email address for the purposes of this application process.
  • Please indicate your current location.
  • Mentor Information
    • International Mentor's Full Name * Requis
    • Please indicate the international mentor's title (e.g. Dr., Mr., Mrs., Ms.).
    • Please indicate the international mentor's home institution.
    • Please indicate the international mentor's position at the home institution noted above.
    Project Information
    • Organization to which you are applying to fund your award. * Requis
      Please indicate the organization(s) to which you are applying to fund your award.
    • Please indicate the location of the proposed travel destination.
    • Please indicate the proposed range of dates for travel.
    Project Application Documents
    • In this next section, you are asked to upload the five (5) required application documents:

      • 1. Applicant's Letter of Intent
      • 2. Applicant's CV
      • 3. Institution's Letter of Support
      • 4. International Mentor's CV
      • 5. International Mentor's Confirmation Letter
    • Maximum two (2) pages. Please refer to the Application Instructions for complete instructions about the Letter of Intent.
      Types de fichiers acceptés : doc, docx, odt, ott, pdf, rtf.
      Formats acceptés - .doc .docx .odt .ott .pdf .rtf.
    • Provide your most current CV (maximum 4 pages). Please refer to the Application Instructions for complete instructions about the CV.
      Types de fichiers acceptés : doc, docx, odt, ott, pdf, rtf.
      Formats acceptés - .doc .docx .odt .ott .pdf .rtf.
    • Provide the Institution's Letter of Support (maximum 1 page) Please refer to the Application Instructions for complete instructions about the Letter of Support.
      Types de fichiers acceptés : jpg, pdf, png, doc, docx, odt, ott, rtf.
      Formats acceptés - jpg pdf png doc docx odt ott rtf.
    • Provide the international mentor's CV (maximum 4 pages). Please refer to the Application Instructions for complete instructions about the international mentor CV.
      Types de fichiers acceptés : doc, docx, odt, ott, pdf, rtf.
      Formats acceptés - .doc .docx .odt .ott .pdf .rtf.
    • Provide the international mentor's Confirmation Letter (maximum 1 page). Please refer to the Application Instructions for complete instructions about the Mentor's Confirmation Letter.
      Types de fichiers acceptés : jpg, pdf, png, doc, docx, odt, ott, rtf.
      Formats acceptés - jpg pdf png doc docx odt ott rtf.
    • If you feel additional information could be relevant to your application, please include it here (maximum of 250 characters).
    • Applicant Statement of Consent * Requis
      By submitting your application, you hereby consent to sharing the information contained in your submission with the HBIC for purposes of this grant competition. You also attest that the information provided in your application is both complete and accurate.
    • Please review all fields before clicking the submission button below.

      After submitting your application, please wait for the confirmation message to be displayed on screen before closing this window.

      An email confirmation will then be sent to the email address you indicated in your submission. Please save this message for your records.