INTERNAL RESEARCH COMPETITION APPLICATION COVER PAGE APPLICATION DATE: ___________________ AWARD FOR WHICH YOU ARE APPLYING (CHECK ALL THAT APPLY) MEN’S HEALTH RESEARCH LOGAN M. FINDLAY FUND HELEN SHORE NURSING ENDOWMENT FUND SHEENA DAVIDSON NURSING RESEARCH FUND LYLE CREELMAN ENDOWMENT FUND OTHER TITLE OF PROJECT PRINCIPAL INVESTIGATOR SURNAME, GIVEN NAME(S) – CO-INVESTIGATOR OR SUPERVISORS - SURNAME, GIVEN NAME(S) CONTACT INFO (INCLUDE: MAILING ADDRESS, EMAIL, AND PHONE NUMBER) LAY ABSTRACT DO NOT EXCEED 150 WORDS – INDICATE YOUR POSITION: MASTERS STUDENT PhD STUDENT POST-DOCTORAL STUDENT FACULTY STUDENTS CHECK HERE TO CONFIRM PROJECT HAS BEEN APPROVED BY YOUR COMMITTEE HUMAN ETHICS (CHECK ONE) APPLIED FOR (CERTIFICATE TO FOLLOW) RECEIVED CERTIFICATE # _______________ (ATTACHED) – PROJECT PERIOD: FROM: TO: BUDGET REQUESTED: $ SIGNATURE OF APPLICANT(S) Name: __________________________ If relevant, supervisor: _____________________ Date: ___________________________ Date: ___________________________________
INTERNAL RESEARCH COMPETITION APPLICATION COVER PAGE APPLICATION DATE: ___________________ AWARD FOR WHICH YOU ARE APPLYING (CHECK ALL THAT APPLY) MEN’S HEALTH RESEARCH HELEN SHORE NURSING ENDOWMENT FUND LYLE CREELMAN ENDOWMENT FUND LOGAN M. FINDLAY FUND SHEENA DAVIDSON NURSING RESEARCH FUND OTHER TITLE OF PROJECT PRINCIPAL INVESTIGATOR – SURNAME, GIVEN NAME(S) CO-INVESTIGATOR OR SUPERVISORS - SURNAME, GIVEN NAME(S) CONTACT INFO (INCLUDE: MAILING ADDRESS, EMAIL, AND PHONE NUMBER) LAY ABSTRACT – DO NOT EXCEED 150 WORDS INDICATE YOUR POSITION: MASTERS STUDENT PhD STUDENT POST-DOCTORAL STUDENT FACULTY STUDENTS CHECK HERE TO CONFIRM PROJECT HAS BEEN APPROVED BY YOUR COMMITTEE HUMAN ETHICS (CHECK ONE) APPLIED FOR (CERTIFICATE TO FOLLOW) RECEIVED – CERTIFICATE # _______________ (ATTACHED) PROJECT PERIOD: FROM: TO: BUDGET REQUESTED: $ SIGNATURE OF APPLICANT(S) Name: __________________________ Date: ___________________________ If relevant, supervisor: _____________________ Date: ___________________________________
CoverPageUBCNursingIRG.docx