2023 Canadian Lung Association: Allied Health Fellowship Registration

Allied Health Fellowship Award

Please complete this form and upload your registration to apply to the 2023 Canadian Lung Association: Allied Health Fellowship Competition. The competition guidelines and the application form can be found on the Lung Association website.

This competition is for respiratory health professionals from a recognized clinically based discipline (e.g., registered nurse, nurse practitioner; physiotherapist; respiratory therapist; pharmacist; cardio-pulmonary technologist; polysomnographic technologist; kinesiologist; dietician; occupational therapist; social worker; or psychologist). MDs are not eligible.

Registration deadline: April 5, 2023 by 16:00EDT

Full Application deadline: April 26, 2023 by 16:00EDT

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* 1. Applicant Contact Information

First Name

Last Name

Institution

Email Address

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* 2. Supervisor's Contact Information

First Name

Last Name

Institution

Email Address

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* 3. Co-Supervisor Contact Information (If Applicable)

First Name

Last Name

Institution

Email Address

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* 4. Project Title

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* 5. Keywords - Please enter up to 5 keywords that identify your research project

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* 6. Please choose the category that best describes your project

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* 7. Name of Referee #1 (Current Supervisor)

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* 8. Name of Referee #2 (Previous Supervisor)

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* 9. Upload your registration.

Upload your registration using as (one) 1 PDF file. File size: 15MB maximum saved using the following format: AHFellowship_ LastName_Registration.pdf. Please note: larger files will take longer to upload. Having difficulty uploading your file? Check the file size. If it's over 10 mb then it's too large to be uploaded. Contact research@lung.ca to make alternate arrangements.

PDF file types only.

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