Instructions for Completing the Institute Community Support Program Application Form When Applying for INMHA Brain Star Award

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 family name and given name.
  3. Affiliation
    Indicate the name of the university or institution where you are a student or post-doctoral fellow and your program of enrollment (B.Sc., M.Sc., PhD, etc)
  4. Institution paid
    Applicable if already a CIHR grantee
  5. Address
    Please provide both your personal and institutional address
  6. Telephone number
    Please provide your personal telephone number(s)
  7. Email

2. Request for Funding Information

  1. Project title
    Please provide the full reference for your published article (Title, Authors, name of journal, volume, page numbers, year).
  2. Are you applying as an…?
    Select as an "individual."
  3. Total amount requested
    Maximum amount that can be requested is $1,500.

3. Activity Description

  1. How does this request align with the Institute's mandate?(maximum 250 words, 12 Times New Roman)
    Discuss how your research paper is aligned with the INMHA mandate/vision.
  2. Describe the Specific contribution of the student or trainee: (maximum 250 words, 12 Times New Roman)
    Describe the specific contribution to conception and design of the study, acquisition of data and analysis and interpretation.
  3. Provide a description of the impact of the publication (maximum 250 words, 12 Times New Roman)
    Please discuss the relevance and significance of your paper in the broader context of the field of neuroscience, mental health and addiction, it's impact on the target audience and beyond the specific field of study
  4. Provide a copy of your article.
    You must attach a PDF electronic copy of your article to the completed form.
  5. Provide a Biographical sketch
    In this section; please provide a brief biographical sketch including information about previous training, research experience and current training.

4. Signature

A signature is mandatory.

Please e-mail the ICS form and the electronic copy of your article to Diane Parsons.

Send the completed application package by courier/ registered mail to:

Diane Parsons
Tel: 604-822-0379
diane.parsons@cihr-irsc.gc.ca
Institute of Neurosciences, Mental Health and Addiction
Djavad Mowafaghian Centre for Brain Health
University of British Columbia
3402-2215 Wesbrook Mall
Vancouver, BC V6T 1Z3

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