Surname:Type HereGiven Name:Type Here
Hospital/Campus:Type Here
Title of Project: Type Here
Co-Investigator Name: / Department (if not Anesthesia):Tab to enter additional co-investigators. Append letters of support if required.
Preliminary data/work to date
Please describe the work you have already completed on your research project. This might include specific REB approved protocols, grants, preliminary data or publications (300 words maximum).
Type Here.
Proposal
Please describe your project using the following headings Rationale, Specific Objectives, Design, Methods, Statistical Analysis, and Sample Size Estimate. Please address potential pitfalls and describe how they will be mitigated. (Maximum 1250 words).
Type Here.
Potential Impact of Project
Please describe how results will influence practice or advance your research agenda (250 words maximum)
Type Here.
Trainee Engagement
Terms of reference for uOAR grants indicate that trainees (residents, fellows, students) be included in the project. Please describe the role and responsibilities of the trainee and include a statement of deliverables.
Type Here.
Budget
Please reference institutional job descriptions, salary scales, and service rates. Append quotes for equipment purchases.
Item / Amount1. Materials and Supplies
a. Animals (indicate type and quantity)
b. Expendables (indicate unit cost and quantity)
c. Services (indicate unit cost and quantity)
2. Equipment (detail items)
3. Personnel (indicate type, annual salary, and FTE)
Total:
Budget Justification
Justify each line item in the budget. If relevant, describe how this award will be integrated with other sources of funding (maximum 250 words).
Type here.
Previous uOAR funding
Have you received a uOAR grant in past three years?Yes No
List any subsequent external funding applications related to your uOAR grant.
Type Here
Concurrent Funding
Please describe any previous or current applications to fund this project. Describe how these funds will be integrated with this award.
Type here.
Your CIHR Common CV
Please append an up-to-date Canadian Common CV to this application. A .pdf file of the Generic CV titled with your surname is requested.Information regarding setting up, formatting, and saving the Canadian Common CV is available on the Common CV website.
Co-investigators' CVs
Please include CVs for your co-investigators. CIHR Common CV is preferred, and attests to their research background, but we will accept whatever they can provide you.
Research Ethics Submisssion
Evidence of REB submission, or waiver of REB approval in select cases, must be included with the application form. REB approval is required before funds are released
Submission
Please compile all relevant documents into a single PDF file and email to Submission must be received by 2016-02-12
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