IMS Graduate FacultyAppointment / Re-Appointment

Application Form

Please complete this application form and submit with supporting documentation (see page 3). Add additional rows as necessary.

Contact Information

Title / Given Name / Surname

Degrees Obtained

Degree / Institution / Start Date – End Date
Are you an IMS Graduate? / Yes / No

Primary Academic Appointment

Rank / Department / Start Date / End Date (Required)

Other Academic Appointments (if applicable)

Rank / Department / Start Date / End Date (Required)

Primary Graduate Appointment (if applicable)

Rank / Department / Start Date / End Date (Required)

Other Graduate Appointments (if applicable)

Rank / Department / Start Date / End Date (Required)

Current Hospital/Research Institute Appointments

Position / Department / Start Date

Collaborative Program Affiliations (if applicable)

Rank / Department / Start Date

Supervisory Experience(the last 5 years only)

Student Name / Department/Institution / Degree (MSc/PhD) / Start date – End date / Your role (primary supervisor, committee member, etc.)

Publications(the last 5 years)

Refereed Articles / Books / Book Chapters / Total
Already published
In press/Accepted
List five most significant publications in the last 5 years as principal or senior author. Please indicate the impact factor for each publication. / Impact Factor

Current Grants and Research Funding

Funding Source / Total Amount / Your role (Principal investigator, co-applicant, etc.) / Funding period (from mm/yy to mm/yy)

Student Funding Strategy

Describe your strategy for providing student funding/research stipend (see IMS Funding Policy: to IMS students under your direct supervision

IMS Graduate Teaching (last 5 years only)

Describe your teaching activities in IMS (e.g., as IMS course direct, lecturer, facilitator of MSC 1010/1011 modules)

A complete application for IMS graduate appointment includes:

  1. IMS Graduate Application Form
  2. A letter of intent from the applicant
  3. A full CV (CIHR Common CV format is preferred)
  4. A letter of support from the Chair of your primary academic department. (For Re-Appointments, please contact the IMS at to discuss this requirement).
  5. A letter of support from the Chair of your primary graduate department (if applicable). (For Re-Appointments, please contact the IMS at to discuss this requirement).
  6. Other supporting information (e.g. letter of support from the hospital research institute director for funding strategies) (Optional).

* Please combine all documents into 1 PDF in the order above.

Letters should be addressed to:

Dr. Brenda Toner, Chair

Faculty Appointments Committee

Institute of Medical Science

Faculty of Medicine, University of Toronto

1 King’s College Circle, Room 2374

Toronto, Ontario M5S 1A8

Completed applications should be submitted via emailto Zamiha Premji

Updated: Mar. 2016

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