Application Form: Fall 2023 Fellowship Awards

Submission Details

Please complete the application form & attach all required documents by Monday, November 20, 2023 at 11:59 PM. Inquiries can be addressed at info@canvector.ca.

Application Form

Applicant Information

First Name *

Last Name *

Email Address *

Mailing Address *

Phone *

Country of Residence *

Institution *

Research Project Title

Insert here *

Are you a Canadian Citizen or permanent resident? *

Award Type *

Supervisor / Co-Supervisors

Insert here *

Graduate Program during the upcoming year (if applicable)

Degree; Discipline; Department; Institution; and Country Name of the supervisor, Start date (yyyy/mm); End date yyyy/mm) *

Academic Background (include only current and past degree programs)

Degree; Discipline; Department; Institution; and Country Name of the supervisor, Start date (yyyy/mm); End date yyyy/mm) *

Sources of salary support expected during the upcoming year (check all applicable)

Sources of salary support expected during the upcoming studentship year (check all applicable) *

Institution Salary (salary from your institution)Salary Award (any internal or external funding)Clinical Scholar (ie., clinical billing as physician)None (ie., no salary support has been secured)

Scholarships and other awards currently held and expected for the upcoming year

Award; Funder Value ($ CAD); Type (Academic, Research); Location of Tenure; Period Held (yyyy/ymm - yyyy/mm) *

Have you applied for other sources of salary support (results are pending) or will be applying for additional support? *

If you answered yes, please list any scholarships and other awards that you have applied for (results are pending) or plan to apply for to provide salary in the upcoming year

Name of Award; Funder; Value ($ CAD); Date results expected (yyyy/mm/dd)

Summary of research proposal (2 pages maximum) *

If the research proposal requires additional funds, the summary should describe the source of this funding (obtained or applied for) and should include a brief discussion of alternatives, if applied-for funding is not successful

Lay Summary (500 words maximum) *

The lay summary is a brief summary of a research project that is used to explain complex ideas and medical and scientific terms to people who do not have prior knowledge about the subject. In language suitable for a lay audience, describe the following

Purpose of the research
Relevance of the research
General approach (methods)

For the lay summary, please include paragraphs and headings that clearly show how you are addressing each of the above (3) components, and a lay title.

Applicant CV *

Primary supervisor(s)’ current CV *

A letter of support from supervisor *

A letter of support from the proposed primary supervisor outlining 1) the strengths and accomplishments of the candidate, 2) the research facilities and resources available to the candidate, and 3) the proportion of time the candidate will spend on research, course work, clinical duties, and teaching.