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Expression of Interest | Research Grants 2023
The deadline to submit your Expression of Interest is July 31, 2023 at 11:59PM EST.
1.
Section A.
Title:
Mr.
Mrs.
Miss.
Dr.
Other (Please Specify)
2.
First Name:
3.
Last Name:
4.
Academic Qualifications: (Official Academic Abbreviations)
5.
Current Workplace:
6.
Year Conferred: (Year that Qualification was Conferred, Not Year of Completion)
7.
Which grant(s) are you applying for? (Select all that apply).
Poster Board Award
Junior Research Grant
Faculty Research Grant
8.
Position Title:
9.
Department:
10.
Contact Info:
Phone:
Email:
11.
Alternate Contact Info: Email Phone
Name:
Phone:
Email:
12.
Section B.
Do you have any Associate Investigators? Please fill in their name, academic qualifications, workplace and time in % on this project. If there is not enough space to input full responses, please email a document to erin@craigscause.ca with subject 'RESEARCH GRANT FORM'.
Name, Academic Qualifications, Workplace and Time in % on this Project
Name, Academic Qualifications, Workplace and Time in % on this Project
Name, Academic Qualifications, Workplace and Time in % on this Project
Name, Academic Qualifications, Workplace and Time in % on this Project
Name, Academic Qualifications, Workplace and Time in % on this Project
Name, Academic Qualifications, Workplace and Time in % on this Project
Name, Academic Qualifications, Workplace and Time in % on this Project
13.
Section C.
Project Title:
14.
Research Category
Basic
Translational
Educational
Clinical
Qualitative
Other (Please Specify)
15.
Discipline:
16.
Significance: Briefly describe the project. Please note this may be used for future publications
17.
Summary of Aims, Hypothesis, Brief Research Plan, Budget.
Aims
Hypothesis
Brief Research Plan
Budget
Additional Comments
18.
Briefly Describe how the Research Outcomes will Improve Healthcare and/or Education in Pancreatic Cancer.
19.
Related Research:
20.
Project Duration
1 Year
2 Years
>2 Years
21.
Estimated Budget:
22.
Section D.
Administering Institution:
23.
Business Address:
24.
Institution Where Work will be Conducted:
