Page 1 FHSD INTERNAL GRANT COMPETITION

Transcription

Page 1 FHSD INTERNAL GRANT COMPETITION
FOR ADMINISTRATIVE USE ONLY:
ORSIL NUMBER
UBCO PG (Project Grant)
FHSD INTERNAL GRANT COMPETITION
The FHSD Innovations in Wellness Fund was established to support research projects that explore new frontiers of scholarship
in wellness innovation, with a focus on translational research that aligns with the World Health Organization definition of
health: “Health is a mental state of complete physical, mental, and social well-being and not merely of disease or infirmity”.
Candidates will apply to the FHSD describing their research project and an internal review panel will award the grant.
Successful candidates will subsequently be required to submit an application to Mitacs for matching support.
 Amount of the award (stipend + research allowance): Master’s: $18,000+$2,000; Ph.D.,: $23,000+$2,000; Post-Doctoral:
$40,000+$5000
APPLICANT’S SURNAME, GIVEN NAME(S):
SUPERVISOR’S SURNAME, GIVEN NAME(S):
FHSD SCHOOL:
ACADEMIC LEVEL (Master’s/Ph.D./Post-Doctoral):
PHONE NUMBER:
EMAIL ADDRESS:
PROJECT PERIOD: (MM/YYYY - MM/YYYY):
TITLE OF PROJECT:
SIGNATURES:
Print Name:
Applicant
Print Name:
Supervisor
Department Head
Print Name:
Signature:
Signature:
Signature:
Date:
Date:
Date:
For Departmental Administrative Use Only:
Name of Dean:
Dr. Gord Binsted
Signature:
Date:
Page 1
PROJECT PROPOSAL: (INCLUDE SCOPE OF THE PROJECT, SECURED INDUSTRY PARTNER, THEMATIC CHALLENGE TO BE
INVESTIGATED, RESEARCH COMPETENCE).
PLEASE ATTACH THE FOLLOWING:
• UBC CV AND STUDENT ACADEMIC TRANSCRIPTS
RESEARCH ETHICS & ACCOUNT INFORMATION
Please complete each of the following:
HUMAN SUBJECTS WILL BE USED:
YES
ANIMALS WILL BE USED:
YES
NO
NO
CERTIFICATE #:
APPROVAL #:
BIOHAZARDOUS MATERIALS WILL BE USED: YES
NO
LEVEL:
RADIOACTIVE MATERIALS WILL BE USED: YES
NO
SPECIFY:
INDUSTRY / COMMUNITY PARTNER
NO
SPECIFY
YES
Page 2
NOTE:
MITACS APPLICATION HAS AN 8 WEEK TURN AROUND TIME TO ALLOW FOR EXTERNAL REVIEW PROCESS.
SUBMISSION DEADLINE:
 Email electronic application to: kristy.verigin@ubc.ca on behalf of the Dean’s Office and Internal Review Committee.
APPLICATIONS ACCEPTED YEAR-ROUND. SUBMISSIONS REVIEWED 3x PER YEAR, (Jan, April and Sept).
FUNDING SUPPORT (1 – 3 YEARS)
Page 3