Application Form: 2023 Pilot Study Funding Opportunity

Submission Details

Please complete the application form & attach all required documents by January 21, 2024. Inquiries can be addressed at info@canvector.ca.

Application Form

Pilot Study Application Form

*Required Field

Study Title

Insert here *

Principal Applicant Information

Name of Principal Applicant *

Primary institution, department and/or faculty

Insert here *

Email Address *

Career Level Per CIHR Definitions *

Are you a CanVECTOR member? *

List all Co-Applicants, including 4 details for each: 1) Name, 2) Career level, 3) Role, 4) Primary institution

Insert here: 1) Name, 2) Career level, 3) Role, 4) Primary institution *

Pilot study start date (yyyy/mm/dd): *

Pilot study end date (yyyy/mm/dd): *

Total budget requested (CAD): *

Institution to manage awarded funds

Insert here *

Does the proposed pilot study involve prospective randomization of patients to two or more interventions? *

If you answered no to the previous question, describe the study design and confirm that the purpose of the pilot study is to evaluate the feasibility of a future randomized controlled trial by addressing issues of uncertainty

Insert here *

Equity, Diversity, and Inclusion (EDI): How will EDI be considered for the pilot study? (Max 200 words)

Insert here *

Sex and Gender: How will Sex and Gender be considered for the pilot study? (Max 200 words)

Insert here *

Pilot Proposal (maximum 4 pages) *

References *

Lay summary (maximum 1 page) *

Budget and budget justification (maximum 2 pages: spreadsheet + justification) *

I certify that the information in this application is complete and true, and I will provide supporting evidence as required. Yes No

Note: You will receive an email notification and message at the bottom of this page if you have successfully submitted an application. Please return to the bottom of the page to ensure your application was submitted.

First Name