PSC Maintenance and Cell Quality Form
To apply, complete all sections below. Please note: SCN requires a letter of support from the candidate’s supervisor detailing how the candidate’s participation in this opportunity will benefit the candidate and the lab’s stem cell research program as a whole. After you submit your application, your supervisor (as entered below) will automatically receive an email with instructions to upload their confidential letter. You must submit your application form AND ensure your reference letter is uploaded in advance of the deadline. Please follow up with your supervisor to ensure they receive this email and submit their letter by the application deadline stated on the SCN website. We strongly recommend discussing the deadline with your supervisor well in advance of the deadline.
Email
*
example@example.com
Optional: Sign me up for email notifications about future SCN training and funding opportunities.
Yes
Name
*
First Name
Last Name
Institution
*
Please list ONLY your primary affiliation. For example, if you are affiliated with both the University of Ottawa and OHRI, choose and list only one.
Institution Province
*
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Québec
Saskatchewan
Yukon
NA - International
Institution Country
*
Canada
Other
Position
*
Trainee/Highly Qualified Personnel (ie. Graduate Student, Post-Doc, Research Associate, Technician)
Other
Please indicate your career stage.
*
Undergraduate
Masters Student
PhD Student
Post-Doctoral Fellow
Research Assistant
Research Associate
Technical Staff
Clinical Staff
Other
If applicable, indicate your year of study.
1
2
3
4
5+
Are you currently associated with an SCN-funded project?
*
Yes
No
Unsure
Please indicate your supervisor's name (do not include titles such as "Dr.").
*
First Name - Example: If your supervisor's name is Dr. John Doe, write John
Last Name - Example: If your supervisor's name is Dr. John Doe, write Doe
Please provide your supervisor's email.
*
Please provide your supervisor's institution.
*
Enter your co-supervisor's first and last name, is applicable
Reference Letter
SCN requires a letter of support from the candidate’s supervisor detailing how the candidate’s participation in this opportunity will benefit the candidate and the lab’s stem cell research program as a whole. After you submit your application, your supervisor (as entered above) will automatically receive an email with instructions to upload their confidential letter. You must submit your application form AND ensure your reference letter is uploaded in advance of the deadline. Please follow up with your supervisor to ensure they receive this email and submit their letter by the application deadline stated on the SCN website. We strongly recommend discussing the deadline with your supervisor well in advance of the deadline.
Provide an overview of your current research project & goals (max 500 words).
*
Applicants must be in the field of stem cells and regenerative medicine. Applicants who are working on a project that requires the use of hPSCs will be prioritized.
Describe any past experience with mammalian cell culture and/or stem cell culture (max 500 words).
*
Applicants who have prior experience with mammalian cell culture will be prioritized.
Provide specific details on the status of your current research, and how attending this course will advance your research project. (max 500 words).
*
Applicants who are currently working with hPSCs will be prioritized. If not currently working with hPSCs, applicants who have plans to start doing so within the next 1-3 months will be ranked more highly than those who have longer timelines. Please ensure you describe your need for the training to support or accelerate a regenerative medicine project, and why this training cannot be acquired locally.
Describe your plans for disseminating the information learned at this workshop with others in your home lab or institute (max 250 words).
*
Required Materials
Please upload a copy of your CV.
*
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Demographic Questions Section
Why SCN collects demographic/self-identification information: SCN is committed to monitoring the equity of our training programs and cultivating a culture of inclusion in research. Self-identification information is used for SCN’s reporting purposes with the Government of Canada. All data reported to the Government of Canada is de-identified, aggregate data. The inclusion of pronouns is optional; however, it helps SCN staff in their communication and correspondence with individuals. See SCN’s IDEA Statement https://stemcellnetwork.ca/idea-at-scn/.
Select a gender identity option that applies:
*
Man
Woman
Non-binary
Prefer not to disclose
Another identity not identified above
If your gender identity is not listed above, please indicate below:
My pronouns are:
*
He/Him
She/Her
They/Them
Prefer not to disclose
Other pronouns not identified above
If your pronouns are not listed above, please indicate below:
Select (a) population group option(s) that apply/applies:
*
Indigenous (First Nations, Métis, Inuk Inuit, other indigenous descent)
Black (African, Afro-Caribbean, African Canadian descent)
East Asian (Chinese, Korean, Japanese, Taiwanese descent, other East Asian descent)
Southeast Asian (Filipino, Vietnamese, Cambodian, Thai, Indonesian, other Southeast Asian descent)
South Asian (East Indian, Pakistani, Bangladesh, Sri Lankan, Indo-Caribbean, other South Asian descent)
Middle Eastern (Arab, Persian, Afghan, Egyptian, Iranian, Lebanese, Turkish, Kurdish, other West Asian descent)
White (European descent)
Latin American / Latinx/e (e.g., Mexican, Central American, South American, Caribbean Latin American)
Do not know
Prefer not to disclose
Other
Do you identify as a person with a disability? That is persons who have long-term physical, mental, intellectual or sensory impairments which may hinder their full and effective participation in the workplace or society on an equal basis with others.
*
Yes
No
Prefer not to disclose
Citizenship or Permanent Residency
*
Please Select
Canadian (including permanent resident)
International
Prefer not to disclose
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