2024 Nelson Fok, CPHI(C) Research Grant Application Form

Nelson Fok, CPHI(C) Research Grant Application Form

Deadline November 1, 2024
The Nelson Fok Research Grant is funded by the Environmental Health Foundation of Canada and provides one $1,500 grant annually for research in the field of Environmental Public Health.

Eligibility

1) Research must benefit the field of Environmental Public Health.

2) Research partners must include: a representative from a Canadian public health department/health authority/health unit, and an individual faculty member and/or student (or a faculty and student team), from one of the CIPHI accredited post secondary Environmental Health Programs. Additional partners such as a relevant indusry representative is encouraged.

3) At least one of the partners must be a current member of CIPHI.
Main Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Main Applicant (Check which applies)*
Names of co-investigator(s) or co-applicant(s) and associated school (if applicable):
List the Canadian Public Health Authority/Department/Health Unit and their role:
List previous grants received:
Title of proposed project:*
Duration of proposed project:
Project summary (abstract):

0/250
Project Description:

Please provide a brief description of the proposed research project including the background (knowledge/scholarly gap to be addressed), tentative goals and objectives, theoretical approach, and anticipated methodology.
Background:*

0/150
Goals/objectives:*

0/150
Theoretical approach:*

0/150
What is the anticipated outcome(s) of the proposed research?*

0/500

Please detail your proposed budget:

	Amount requested	Other contributions	Total Project cost
Personnel costs
Travel and subsistence
Professional services
Supplies and other expenses
Total Costs

Please provide justification for your proposed budget:
Please attach any relevant files:

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