2016 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, 2016. We will use the students online registration to send to CIHR for funding requests.

Question Title

* Nominator Information

Name:

Title:

Administrative Unit

Total number of PhD Students in Academic Unit:

University:

Address:

Email:

Phone:

Question Title

* 1st Student Nominated

Name

Faculty

Email

CIHR Institute(s)

Question Title

* 2nd Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 3rd Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 4th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 5th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 6th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 7th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 8th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 9th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title

* 10th Student Nominated

Name

Faculty

Email

CIHR Institute

Question Title