Instructions to complete the ICS program application form when applying for a Institute of Circulatory and Respiratory Health (ICRH) Young Investigators Forum Travel Awards

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 family name and given name
  3. Affiliation
    Indicate the name of your host research institution
  4. Institution paid
    Not applicable
  5. Address
    Indicate your residential address
  6. Telephone number
    Indicate your residential telephone
  7. Email
    Provide your Email address

Section 2 - Request for Funding Information

  1. Project title
    Provide your abstract title
  2. Are you applying as an...
    Select as an "individual"
  3. If you are requesting funds from other CIHR Institutes please indicate them
    Not applicable
  4. If you are requesting funds from other sources then CIHR please indicate them
    Indicate if you have or will request for other travel funds from sources other then CIHR; if yes, please specify the sources
  5. Total amount requested
    The maximum amount for a single award shall not exceed:
    • Residents in eastern Canada to Quebec = $1,500 CND
    • Residents in Ontario = $1,300 CND
    • Residents in Manitoba = $1,000 CND
    • Residents in Saskatchewan to Alberta = $800
    • Residents in British Columbia (outside of the Vancouver area) =$500
    • Local residents (Vancouver area) = $150
  6. Start date of funding request: month/day/year
    Specify the date of the conference (May 5-7, 2010)
  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 expenses. The maximum amount for a single award shall not exceed:
    • Residents in eastern Canada to Quebec = $1,500 CND
    • Residents in Ontario = $1,300 CND
    • Residents in Manitoba = $1,000 CND
    • Residents in Saskatchewan to Alberta = $800
    • Residents in British Columbia (outside of the Vancouver area) =$500
    • Local residents (Vancouver area) = $150

    The funds can be used towards air and ground transportation costs. ICRH will cover travel award recipient's room costs at the Pan Pacific hotel for the evenings of May 5-7th. Incidentals, room service, internet charges will not be covered, therefore awardees are still required to provide a credit card upon check in for costs other than the standard room charge. If recipient of the travel award wished to stay longer than May 5-7th, it will be at their own expense.

    The number of awards approved is dependent on application pressure and ICRH budgetary allocations.

Section 3 - Activity Description

  1. Provide the rational and objective(s) of the funding request
    Not applicable
  2. How does this request align with the Institute's mandate?
    Provide a summary of your present research and its relevance to ICRH's mandate
  3. Provide a description of the activities for which support is being requested
    Not applicable
  4. Provide the anticipated outcomes of the funding request
    Describe your level of career/studies (e.g. undergraduate, MSc, PhD, Post Doc, etc.)
  5. Provide information on the anticipate 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 must send the following formats of the ICS form to the Institute:

By courier or mail (post marked Feb. 1st, 2010)
Attention: Katherine Gardner
CIHR - Institute of Circulatory and Respiratory Health
585 University Ave.
Ncsb 11-1268
Toronto, ON M5G 2N2

Also, send an electronic copy of the ICS form and the abstract to the Institute by email at: ICRH-ISCR@cihr-irsc.gc.ca.