2017 CIHR Competition Nomination Form Please complete the following form for up to 10 nominated students. (If you are nominating more than ten students please complete a second form). Once you have completed the following form please have all students register on the CSHRF website by March 15, 2017. We will use the students online registration to send their abstracts to CIHR for funding requests. Question Title * 1. Nominator Information Name: Title: Administrative Unit Total number of PhD Students in Academic Unit: University: Address: Email: Phone: Question Title * 2. 1st Student Nominated Name Faculty Email CIHR Institute(s) Question Title * 3. 2nd Student Nominated Name Faculty Email CIHR Institute Question Title * 4. 3rd Student Nominated Name Faculty Email CIHR Institute Question Title * 5. 4th Student Nominated Name Faculty Email CIHR Institute Question Title * 6. 5th Student Nominated Name Faculty Email CIHR Institute Question Title * 7. 6th Student Nominated Name Faculty Email CIHR Institute Question Title * 8. 7th Student Nominated Name Faculty Email CIHR Institute Question Title * 9. 8th Student Nominated Name Faculty Email CIHR Institute Question Title * 10. 9th Student Nominated Name Faculty Email CIHR Institute Question Title * 11. 10th Student Nominated Name Faculty Email CIHR Institute Question Title Submit