Research Intern Program Application Work Sheet

Name: FAMILY NAME Given Name

* Please give your full name exactly as in your passport, to expedite immigration preparations and paperwork.

Gender: Male Female

Date of Birth: Month Date Year

Nationality:
You should have a current passport with at least six months validity after the date you enter Japan to apply.

Current Address:

E-mail Address:

University or College:
your current or most recent degree
Academic Degree:

Graduation Date: Month Date Year

(Expected or Actual)

Select one or more units that you are interested in working in. Not every unit can take
interns every year. More information on available research units and projects can be found
at www.oist.jp/research-units and at groups.oist.jp/grad/research-interns
Desired Host Research Unit: 1st: Professor: Unit: 2nd: Professor: Unit:

3rd: Professor: Unit: 4th: Professor: Unit:

* Visit the OIST website to learn more about our Research Units. http://www.oist.jp/research-units

Desired Internship Period: Month Date Year Month Date Year

From To:

* Excluding weekends and Japanese Holiday and 28th December - January 3rd for beginning / ending
date.
* Please kindly visit the link for Japanese Holiday information. http://www.timeanddate.com/calendar/?year=2014
* Internship Period is no less than 8 weeks and no more than 6 months.

Recommendation letter: Name of referee Affiliation

Title E-mail address
Files to upload

Please ensure that all files are in English. Where files such as transcripts are in another
language, please include an English translation as well as the original transcript.

CV: Please upload Word file of CV

Official Transcript: Please upload a PDF file of your official transcript

Statement of intent: Please upload a PDF file of your statement of internt.

Picture: Please upload a digital image of your picture.

Questionnaire: 1. Do you wish to be kept informed of OIST? YES/NO

2. Are you thinking of undertaking later postgraduate studies at YES/NO
3. What is your GPA? _.__
4. What is your rank among students in your program? select option
5. Have you received academic honors and/ or awards? Yes/No
6. Have you ever held a leadership position in an extracurricular club/ org Yes/No
7. Have you made contributions to any published original resear Yes/No
8. Are your requested internship dates flexible? Yes/No
Have you ever completed a research internship at OIST? Yes/No

All applicants should have all the following documents uploaded. A recommendation letter
must be submitted by your referee.

Check List: Contact your referee (your supervisor or Dean of the department) for a recommendation. Please make sure to input referee's information.
Brief curriculum vitae (1 page; please use the provided CV form)
A copy of official transcript of your academic record
Statement of intent, explaining what you aim to achieve at OIST (1 page; please use the provided form)
Digital image of your passport-quality photograph on a white background
Description of course at your home institution for which you wish to be awarded credits (Optional)
Unit Professor

Brain Mechanism for Behaviour Unit Gordon Arbuthnott

Collective Interactions Unit Mahesh Bandi
Quantum Systems Unit Thomas Busch
Fluid Mechanics Unit Pinaki Chakraborty
Femtosecond Spectroscopy Unit Keshav Dani
Computational Neuroscience Unit Erik De Schutter
Neural Computation Unit Kenji Doya
Biodiversity and Biocomplexity Unit Evan P. Economo
Continuum Physics Unit Gustavo Gioia
Biological Systems Unit Igor Goryanin
Mathematical and Theoretical Physics Unit Shinobu Hikami
Immune Signal Unit Hiroki Ishikawa
Microbiology and Biochemistry of Secondary Metabolites Uni Holger Jenke-Kodama
Open Biology Unit Hiroaki Kitano
Quantum Dynamics Unit Denis Konstantinov
Optical Neuroimaging Unit Bernd Kuhn
Genomics and Regulatory Systems Unit Nicholas M. Luscombe
Integrative Systems Biology Unit Tatiana Márquez-Lago
Information Processing Biology Unit Ichiro Maruyama
Developmental Neurobiology Unit Ichiro Masai
Ecology and Evolution Unit Alexander Mikheyev
Physics and Biology Unit Jonathan Miller
Marine Biophysics Unit Satoshi Mitarai
Light-Matter Interactions Unit Síle Nic Chormaic
Developmental Signalling Unit Mary Ann Price
Energy Materials and Surface Sciences Unit Yabing Qi
Trans-Membrane Trafficking Unit Fadel Samatey
Marine Genomics Unit Noriyuki Satoh
Plant Epigenetics Unit Hidetoshi Saze
Theory of Quantum Matter Unit Nic Shannon
Quantum Wave Microscopy Unit Tsumoru Shintake
Mathematical Biology Unit Robert Sinclair
Structural Cellular Biology Unit Ulf Skoglund
Nanoparticles by Design Unit Mukhles Ibrahim Sowwan
Biological Physics Theory Unit Greg Stephens
Cellular and Molecular Synaptic Function Unit Tomoyuki Takahashi
Chemistry and Chemical Bioengineering Unit Fujie Tanaka
Human Developmental Neurobiology Unit Gail Tripp
Formation and Regulation of Neuronal Connectivity Research David Van Vactor
Neurobiology Research Unit Jeff Wickens
Molecular Cryo-Electron Microscopy Unit Matthias Wolf
Cell Signal Unit Tadashi Yamamoto
G0 Cell Unit Mitsuhiro Yanagida
Neuronal Mechanism for Critical Period Unit Yoko Yazaki-Sugiyama