Instructions to complete the ICS program application form when applying for an IAPH travel award

Section 1 - Applicant Information

1. CIHR Personal Identification Number (PIN)
   Enter your CIHR PIN. If you do not have one, visit the new user registration page to register for a PIN and password.
2. Name of applicant
   Provide your first name and last name.
3. Affiliation
   Indicate the name of your host research institution (if applicable).
4. Institution paid
   This section is only applicable to postdoctoral fellows.
5. Address
   Indicate your residential address.
6. Telephone number
   Indicate your residential telephone number.
7. Email
   Provide your Email address

Section 2 - Request for Funding Information

1. Project title
   Provide your presentation or poster title
2. Are you applying as an...
   Select "individual" - only individuals are eligible.
3. If you are requesting funds from other CIHR Institutes please indicate them
   Not applicable. For this launch, applications may only be made to CIHR-IAPH.
4. If you are requesting funds from other sources then CIHR please indicate them
   Indicate if you have requested or will request travel funds from sources other then CIHR. If yes, please specify the sources
5. Total amount requested
   The amount requested must be justified by the budget that you submit and cannot exceed the maximum allowed for the funding opportunity.
6. Start date of funding request: month/day/year
   Specify the date of the conference.
7. Duration of funding request (in months)
   Not applicable.
8. Using the following model, please submit, as an attachment to this application, a budget table that includes names of all funding sources, amounts and timelines requested for his activity
   Not applicable
9. Provide a justification for the amount and duration of the funding request
   Include a proposed travel itinerary and detailed budget of your travel expenses.

Section 3 - Activity Description

1. Provide the rationale and objective(s) of the funding request
   Follow instructions in Sections Review Process and Evaluation Criteria and How to Apply
2. How does this request align with the Institute's mandate?
   Provide a summary of your present research and its relevance to IAPH's mandate.
3. Provide a description of the activities for which support is being requested
   State the title and relevance of the meeting to the mandate of IAPH.
4. Provide the anticipated outcomes of the funding request
   Demonstrate how attending the selected meeting will benefit your career.
5. Provide information on the anticipated size of the target audience and the specific intended use of the CIHR grant or award
   Not applicable.
6. Describe the need for this activity, including a statement why this request cannot be funded under existing CIHR funding programs
   Not applicable.

Section 4 - Signature

Mandatory
You may send your completed application in one of the following formats to the Institute:

• Complete and sign the ICS form, then print and fax it to the Institute at: 613-954-1800
  or
• Scan and send an electronic copy of the signed ICS form and the appropriate supporting documents to the Institute by email at: jacques.dalton@cihr-irsc.gc.ca.