SCPKU Team Innovation Faculty Fellowship Application

If you are interested in applying for an SCPKU Team Innovation Faculty Fellowship, please complete this form and hit the "Submit Form" button at the bottom of the form. Note that incomplete applications CANNOT be saved and completed at a later time. Only one application should be submitted per team by the LEAD faculty member who MUST also be a Stanford Academic Council member, Medical Center Line faculty, or have Active Emeritus status.

* indicates required fields.

BEFORE COMPLETING THIS APPLICATION

Before proceeding, note that the LEAD faculty member submitting this application MUST verify the following status:

Required: I acknowledge that I am a Stanford Academic Council member, Medical Center Line Faculty, or have Active Emeritus status (check appropriate box): *

Lead Faculty Applicant Contact Information


Faculty Name *






Office Address *








Additional Faculty Team Members

Enter other Stanford faculty team member information here (at least ONE additional faculty member required; TWO additional faculty team members maximum):

2nd Faculty Name *






2nd Faculty Office Address *








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3rd Faculty Name (if applicable)






3rd Faculty Office Address








ADDITIONAL GRADUATE STUDENT TEAM MEMBERS

If applicable, enter Stanford graduate student team members' information here (TWO graduate students maximum per team; graduate students are NOT required to be part of team):

1st Graduate Student's Name








1st Graduate Student's Mailing Address








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2nd Graduate Student's Name








2nd Graduate Student's Mailing Address








Team Innovation Faculty Fellowship Application









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SCPKU TRIP SCHEDULING:



SPECIFY CALENDAR WINDOWS, IN ORDER OF PREFERENCE:



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These are representative expenses that applicants can include in their SCPKU Team Innovation Faculty Fellowship proposed budget: 1) lowest cost, upgradable economy-class airline tickets to Beijing for all team members, 2) basic Beijing living expenses and incidentals for Stanford faculty members (up to $200/day), 3) basic Beijing living expenses for Stanford graduate students (up to $90/day), 4) expenses associated with other SCPKU-based meetings/workshops held during the fellowship period. NOTE: SCPKU faculty fellowships do not provide support for travel outside of SCPKU/Beijing, salaries, or materials/supplies. Expenses associated with mandatory public talk at the center will be processed separately by SCPKU.

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Required: I acknowledge that if awarded a Team Innovation Faculty Fellowship which I accept on behalf of my team, this constitutes an agreement by the grantee (and grantee's team members) to Stanford University’s use and distribution (both now and in the future) of the grantee's (and team members') biographical information and image or voice in photographs, video or audio capture, or electronic reproductions of activities associated with the program. *

Administrative Contact Information

Provide an administrative contact in your department who will manage all team travel and other logistics should you be selected. (Award packages will include comprehensive information about how to manage these logistics.)

Administrative Contact's Name *