Supervisor Submission

Full Name*

Department

Division

Organisation*

Email Address*

Telephone

Country

Please provide a link(s) to your personal, group and/or institution webpage(s) (describing you and your group within the institution):*

Please select an area or areas describing your research field. You may also select ‘other’ and provide additional keywords. The selected fields will contribute to a supervisor search function on the website.*

If other please write aditional keywords here.

Please select the Postgraduate medical specialty area(s), that may be compatible with your research. Select as many as you think are appropriate.*

Please select the medical subspecialty/subspecialties that may be compatible with your research. Select as many as you think are appropriate and include additional areas under the other category.*

If other please write additional keywords here.

Please provide a brief description (maximum 200 words) of the kind of work that is ongoing in your lab/group. You may wish to include reference to relevant publications.*

Please provide an outline (maximum 300 words) of a potential research project or projects for a PhD. This is your opportunity to attract potential students.*

If you are an Emerging Supervisor, please indicate potential co-supervisors with whom you could jointly supervise an ICAT Fellow.

Supervisor Submission

Please enter your details in the form below. If you wish leave the form and complete it later please use the 'Save and Continue Later' link at the bottom of the form.