2017 Friesen Prize Dr. Alan Bernstein, President,CIFAR "Health Research in an Age of Borderless Science: How Can Canada Best Contribute?"

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1. First Name (Required.)

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2. Last Name (Required.)

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3. E-mail Address (Required.)

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4. Institution / Organization / Company (Required.)

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5. Type of Institution / Organization / Company (Choose all that apply) (Required.)

University / College / Academic Institution

Hospital

Industry

Government

Non-profit Agency

Media

Other (please specify)

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6. Professional Role / Title and Department if applicable (Required.)

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7. Will you be attending the light lunch (12:45 pm to 1:30 pm) following Dr. Alan Bernstein's Lecture at U Ottawa on Tuesday, October 31, 2017? (Required.)

YES

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8. Have you attended previous Friesen Prize Program events? (Required.)

YES

What years?

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9. Will you review the FCIHR web site: www.fcihr.ca ?

Yes

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* 1. First Name (Required.)

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* 2. Last Name (Required.)

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* 3. E-mail Address (Required.)

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* 4. Institution / Organization / Company (Required.)

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* 5. Type of Institution / Organization / Company (Choose all that apply) (Required.)

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* 6. Professional Role / Title and Department if applicable (Required.)

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* 7. Will you be attending the light lunch (12:45 pm to 1:30 pm) following Dr. Alan Bernstein's Lecture at U Ottawa on Tuesday, October 31, 2017? (Required.)

Question Title

* 8. Have you attended previous Friesen Prize Program events? (Required.)

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* 9. Will you review the FCIHR web site: www.fcihr.ca ?

1. First Name (Required.)

2. Last Name (Required.)

3. E-mail Address (Required.)

4. Institution / Organization / Company (Required.)

5. Type of Institution / Organization / Company (Choose all that apply) (Required.)

6. Professional Role / Title and Department if applicable (Required.)

7. Will you be attending the light lunch (12:45 pm to 1:30 pm) following Dr. Alan Bernstein's Lecture at U Ottawa on Tuesday, October 31, 2017? (Required.)

8. Have you attended previous Friesen Prize Program events? (Required.)

9. Will you review the FCIHR web site: www.fcihr.ca ?