Application Form

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Principal Contact

Phone #: ( )

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Fax #:

( )

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Study Information




Budget Information


Principal Research Site

Phone #: ( )

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Fax #:

( )

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Forms





Note:

1. If electronic copies are not available for any of these forms, they can be faxed to 416-864-5251

2. A signature page must be completed and mailed in to head office. This is available for download at http://www.ahcdc.ca/storage/files/bcherp-ethic-forms.doc

3. Please attach an electronic copy of your complete research proposal, a 10 page maximum (letter-size, font 12, single spacing, 2cm margins, excluding references). Proposal to contain:
a. What you want to do (central hypothesis, research question, specific objectives)
b. Why this is a reasonable thing to do (review of previous work done on the subject matter, rationale)
c. Why this is important (new knowledge to be obtained, improvements to health which will result)
d. How you are going to do it (work plan, timelines, analysis and interpretation of results, pitfalls, ways around the pitfalls, alternatives)
e. Why you should do it (relevant prior experience and skills, collaborators for technical gaps, preliminary data showing feasibility)

Declaration of Principal Investigator





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