A completed application includes:
  1. completed application form,
  2. an abbreviated copy of your curriculum vitae (maximum two pages), and
  3. a copy of your Letter of Confirmation to present accepted abstract.

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* 1. Please complete the following information:

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* 2. Which category best describes you?

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* 3. Please complete the following information:

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* 4. Please provide a brief description of your heart rhythm/arrhythmia research:

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* 5. Are you receiving any other source of funding to attend the meeting?

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* 6. Please upload an abbreviated copy of your curriculum vitae (maximum two pages).

PDF, DOCX, DOC file types only.
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No file chosen

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* 7. Please upload a copy of your Letter of Confirmation to present accepted abstract.

PDF, DOCX, DOC file types only.
Choose File
No file chosen

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* 8. By checking the box below, I am giving my digital signature and verify that the information I have submitted on this form is true and accurate:

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* 9. Date of signature: 

Date / Time
Click the the SUBMIT button below to finalize your travel grant application.

Please make sure to review the Travel Grant Guidelines. 

If you have any questions or comments, please contact the CHRS at (613) 569-3407 Ext. 418 or by E-Mail at chrs@ccs.ca.

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