FBAUC - Fondation des Bourses de l’Association des Urologues du Canada
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Bourse de la FBAUC pour nouveaux chercheurs
Termes de Référence
Formulaire de Demande
Bourse de l'AUC pour le cancer de la vessie Canada
Termes de Référence
Formulaire de Demande
Programme International de Bourses FBAUC-SIU
Termes de Référence
Formulaire de Demande
Subventions de recherche RRCRC-CRC-FBAUC sur le cancer du rein
Termes de Référence
Formulaire de Demande
FBAUC-CCSSH (Conseil canadien sur la santé sexuelle de l’homme) Bourse
Termes de Référence
Formulaire de Demande
Programmes de subventions de DPC pour urologues en milieu non-académique et de mentorat CUC-AUC
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CMSHC Programme de subventions FBAUC-CCSSH
Form type
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Name (in full)
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Date of birth
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CUA Membership Number
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Citizenship
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Mailing Address
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Email address
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Telephone # work
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Telephone # home
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Fax
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Location of Residency Training
Year of Residency
Name of Institution and Department where applicant will conduct his/her academic/research activities
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Academic Rank to be held by the applicant during tenure of the research
Name, address and telephone number of the Department/Division Chair person
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Name of Supervisor of Research Project
Type of Research (eg. Clinical, translational, interventional, basic research, genetic studies, epidemiology, health outcomes, and quality of life studies)
Research Experience (a brief description of work in which the applicant has participated)
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Briefly describe the environment and the research facilities
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Briefly describe your long term career plans and research objectives and how this project will impact these objectives
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Date
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Place
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Name of Applicant
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Checklist
Research proposal
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Research proposal outlining the clinical and/or research project for the fellowship not exceeding (5) single spaced pages including budget and references all in standard 12 font (please see suggested headings outlined below). Note: The CUA-Pfizer Incontinence Fellowship Award is not intended to fund the research project. The institution at which the fellowship takes place will need to provide funding for the research project.
A maximum of three (3) published reprints or pre-prints (if applicable)
Project budget
Evidence of appropriate Ethics Committee approval or application for approval along with consent forms where human subjects are involved in the study
Letter of support and commitment from the Chair of the Department/Division indicating the level of institutional and/or university support
Letter(s) of support from proposed mentors describing how they will execute their mentorship to facilitate successful completion of the proposed research
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Two (2) additional letters of recommendation, one (1) of which should come from an individual not associated with the Institution where the proposed research will take place.
A list of all current grants and submitted grant applications in the past 3 years (maximum of 1-2 pages) with the title of the grant, granting agency and amount of the grant. Incomplete applications will be disqualified.
A brief lay Summary (maximum of 250 words).
Renewal applications should include all of the above documentation. No Progress Report is required for a renewal application. Progress Reports are to be submitted at the mid-point of the original award (see above).
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