FCACC Helping the Next Generation

Before submitting, please ensure your project fullfills the following criteria:

Project is completely non-commercial; there is no grant funding or other support from for-profit entities
Project lead will be able to report back on data
The main objective of the project is to collect data that will better patient care in cardiology or assess exactly how to positively impact patients or care givers who work in a cardiology setting

Contact name*

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Project name*

Brief synopsis of project*

Brief synopsis of data to be collected (including quantity of questions on survey)*

What is your target audience?*

Upload letter of support from main entity supporting the project*