Restracomp Application - The Hospital for Sick Children

DEADLINE:
Tuesday October 7, 2014
12:00PM, noon
RESTRACOMP (RESEARCH TRAINING COMPETITION)
October 2014 Application Package
Application
Package
This package contains important information and instructions to assist you when applying
for Restracomp funding.
Please read this package carefully before completing the application.
For a full description of the competition process and guidelines, please refer to the
Restracomp Policies and Procedures manual.
TABLE OF CONTENTS
A. Eligibility for Funding
UofT Graduate Students
Non UofT Graduate Students
Rotation Student
Nursing and Professional Services Graduate Students
Research Fellows
Page 2
Page 2
Page 2
Page 2
Page 3
B. Competition Information
Applicant Categories
Number of Times You Can Apply
Funding Start Date
Funding Terms and Conditions
Trainee Stipend Levels
Page 3
Page 3
Page 3
Page 3
Page 4
C. Application Information
Electronic Submission Guidelines
Cover Page Information
RTC Registry Form Information
Transcripts
Referee Form(s) and Letter(s)
Supervisors Evaluation of Applicant
Brief Description of Trainees Project
Access to Restricted Funds
Face Sheets of External Applications
Statement of Category G Applicants
OSOTF Information
Appendix A: Categorization of Students/Fellows
Restracomp Application Cover Page
RTC Registry Forms
OSOTF Form (Graduate Students only - Categories A-D)
Category D: Letter of Intent Form
Page 4
Page 4
Page 5
Page 5
Page 5
Page 6
Page 6
Page 6
Page 7
Page 7
Page 7
Page 8
Page 9
Page 10 & 11
Page 12, 13 & 14
Page 15
RESTRACOMP OCTOBER 2014
Application
Deadline
Tuesday October 7, 2014 by 12:00 PM, noon
Please submit applications electronically as ONE PDF document and in the order
indicated on the cover page checklist (Page 9). Files must be uploaded to the following
site: http://RestraComp.research.sickkids.ca
• Incomplete applications will not be accepted.
• Extensions will not be given for incomplete applications under any
circumstances.
• It is the responsibility of the applicant and supervisor to ensure the application
is complete and submitted by the deadline.
Limitations
Due to budget constraints, a maximum of two graduate students (Category A-D) and
one research fellow (Category F-I) per supervisor may apply for Restracomp funding.
Only one trainee per supervisor can be awarded Restracomp funding to begin January 1,
2015.
A. ELGIBILITY FOR FUNDING
U of T Graduate
Students
To be eligible for funding, UofT Graduate Students must have a supervisor at SickKids with
the following requirements:
1) The Supervisor must be a SickKids staff member appointed to the Research Institute as
one of the following:
• Senior Scientist
• Scientist
• Senior Associate Scientist
• Associate Scientist
• Scientist Track Investigators (Application must be co-signed by the Investigator’s
Scientific Advisor)
2) The Supervisor must be appointed to the School of Graduate Studies (SGS) at the
University of Toronto (UofT).
3) Co-supervision is not allowed.
Non U of T
Graduate
Students
Non UofT Graduate Students are eligible under the same requirements as above.
Rotation
Students
Rotation students are not eligible to apply to Restracomp.
Nursing and
Professional
Services
Graduate
Students
Nursing and Professional Services students (Category D) uncertain of whether they fulfill the
independent research project eligibility guidelines (Section 4.2.1, Restracomp Policies and
Procedures Manual), should submit a letter of intent prior to beginning the application
process. Please submit this form to [email protected] for review by Friday
September 12, 2014 if you are unsure whether or not your application qualifies for Restracomp
funding. The form can be found on page 15 of this application package.
Please Note – funding availability for Non UofT students is assessed before each competition.
Nursing & Professional Services Graduate Students are eligible to apply for funding under the
following conditions:
1) The Supervisor is a SickKids staff member appointed to the Research Institute as one of the
following:
2
•
•
•
•
•
Senior Scientist
Scientist
Senior Associate Scientist
Associate Scientist
Scientist Track Investigators (Application must be co-signed by the Investigator’s
Scientific Advisor)
2) The Supervisor must be appointed to the School of Graduate Studies (SGS) at the
University of Toronto (UofT).
3) Co-supervision is not allowed.
When supervisors are not appointed to the Research Institute at SickKids they must apply in
writing to Dr. Janet Rossant, Chief of Research, for an Adjunct Scientist appointment. This
involves:
• Submitting his/her curriculum vitae
• Providing a letter of support from the appropriate SickKids Department Head providing an
annual assessment on the trainee to the Research Training Centre.
Research
Fellows
To be eligible, Research Fellows must have a Supervisor at SickKids.
1) The Supervisor must be a SickKids staff member appointed to the Research Institute as one
of the following:
• Senior Scientist
• Scientist
• Senior Associate Scientist
• Associate Scientist
2) Co-supervision is not allowed.
Fellows are NOT eligible if:
• The supervisor is a Scientist-Track Investigator, Team Investigator, Adjunct Scientist,
Project Investigator, or Emeritus Scientist
• They have completed two previous postdoctoral research positions
• They have greater than five years of previous postdoctoral research training (unless an
interruption in career has occurred e.g. maternity leave)
B. COMPETITION INFORMATION
Application
Categories
Applicants must apply to the category that best describes their status at the time that funding
begins. If a trainee is enrolled in a graduate program, please apply in categories A-D.
Please refer to Appendix A for Categorization of Students and Fellows.
Number of
Times You Can
Apply
A trainee can apply a maximum of two times to Restracomp during their research training at
the hospital (e.g. two applications as a student and/or two applications as a fellow are
permitted.) You will be contacted if you are not eligible. If you are unsure whether or not you
exceed the limit, you should contact the RTC office before the deadline date.
Funding Start
Date
The earliest start date of funding for the October 2014 competition will be January 1, 2015.
Funding can be deferred for up to one year from award notification.
Funding Terms
and Conditions
The following are mandatory terms and conditions of the Restracomp Award:
• Annual application for renewal of funding (non-competitive application).
• Annual proof of application for external funding
3
• Notification of success in obtaining external and/or internal funding
• Notification if a student/fellow completes his/her degree program
• Notification if a student changes his/her degree status from full-time to part
time (or vice-versa).
• Notification if a Category D student changes his/her number of clinical hours worked
If the supervisor and/or trainee fails to notify the Research Training Centre of these changes,
the supervisor is required to reimburse Restracomp for any funds wrongly received by
the trainee. Failure to comply with these Terms and Conditions can result in termination of the
award. For a full description of the competition please refer to the Restracomp Policies and
Procedures manual.
Trainee Stipend
Levels
Stipend levels for trainees are provided in the Restracomp Policies and Procedures
manual, which can be found on-line at:
http://www.sickkids.ca/pdfs/Research/students-and-fellows-resources/33535-33535restracomp_policies.pdf
Trainees and supervisors must become familiar with policies and procedures.
C. APPLICANT INFORMATION
Electronic
Submission
Guidelines
Please carefully read and follow the instructions below when submitting your
application:
1. One PDF copy of the complete application must be submitted using an online file
submission portal at the following link: http://RestraComp.research.sickkids.ca by
the October 7, 2014 12:00 PM, noon deadline.
2. The application must be a single PDF file containing all sections of the application
form and all appended pages in the correct order indicated on the application
checklist. This checklist must be used as the cover page for the package. If
needed, combine multiple PDF files into a single file before submitting
electronically.
3. The PDF must be saved in the following format:
CategoryH(Category)_lastname_firstname
For example: CategoryB_Smith_John
Applicants will receive an automatic email reply acknowledging receipt of their application.
If you submit an application but do not receive an acknowledgement, it is the applicant’s
responsibility to follow up with the RTC office. Please note, this confirmation email does
not indicate that your application has been screened for completeness. You will receive a
further email from the RTC if your application is deemed incomplete and will be withdrawn
for consideration from the competition.
Please do not submit your application more than once. If duplicate applications are
received, RTC will only accept the most recent submission provided it is received by the
deadline.
Cover Page
The Cover Page found on Page 9 of this application package must act as a check list to
ensure all documents are submitted and in the order of the check list.
4
Research
Training Centre
Registry Form
ALL applicants must complete a Research Training Centre Registry form.
Trainees currently at SickKids
Trainees not at SickKids at time of
application
Must fill out the form electronically using
their SickKids’ Windows login name and
password at the following internal link:
http://earl.research.sickkids.ca/login
Fill out the RTC Registry form on Pages
10 and 11 of this application package.
Once you have filled out the form and
submitted it, please print and collate into
your application package.
Transcripts
Transcripts must be scanned and submitted using the following guidelines:
1)
2)
3)
4)
Official transcripts with marks
Notarized copies of transcripts are acceptable
Non-English transcripts must be translated, with the exception of French
PhD-seeking students must provide both graduate and undergraduate transcripts
All other applicants must provide transcripts of the most recent program
completed.
5) If marks were not assigned for a course/program or are unclear on the applicant’s
transcript, the supervisors evaluation must also include a detailed explanation of
transcripts
• Explain the reason and provide objective criteria for judging academic performance
• Must clarify the nature and absence of marks
Transcripts should be sent directly to the supervisor and opened, scanned, and
collated as a pdf document into the Restracomp application package by the
supervisor or supervisor’s assistant.
IMPORTANT NOTE: Only those approved for Restracomp funding will be required to
submit a hard copy of their official transcripts* to the RTC office in December 2014.
Funding cannot begin until official transcripts are received.
*The RTC understands that some transcripts are difficult to obtain (e.g. from outside of Canada). If the
applicant presents the original documents to the RTC, the originals will be returned.
Referee Forms
Applicants have a choice of submitting:
Written Referee letter/s, Standard Referee form/s* AND/OR Both
Only signed referee letters are acceptable.
Category A applicants
All other applicants
submit one letter and/or form.
submit two letters and/or forms.
The applicant’s Supervisor CANNOT act as a referee.
*Please note: Referee forms can be requested from the RTC office, or downloaded from:
http://www.sickkids.ca/Research/StudentandFellowResources/RTC/Applications-andforms/index.html
Reference forms/letters should be sent directly to the supervisor and opened,
scanned, and collated as a pdf document into the Restracomp application package
by the supervisor or supervisor’s assistant.
5
Supervisor’s
Evaluation of
Application
(Must be signed
by Supervisor)
The Supervisor must submit a signed, one page assessment of the applicant including
information on:
• The potential for performance under your supervision
• The applicant’s academic performance, publication activity, research/academic
leadership and development, and characteristics and abilities
• their commitment to hire the fellow should the applicant be successful in securing
Restracomp funding, if applicable
If marks were not assigned or are unclear on the applicants transcript, the letter should
also include a detailed explanation of the transcripts and provide:
• Objective criteria for judging academic performance
• Must clarify the nature and absence of marks
Brief
Description of
Trainee’s
Project
The applicant must attach a one page description of the trainee’s research project stating
the expected length of time required to complete the project.
Access to
Restricted
Funds
The RTC has a number of restricted funds from the SickKids Foundation and partnerships
with Centres that are available to trainees conducting research in a specific area. If a
trainee is approved for Restracomp funding and their research project relates to one of the
research areas listed on the Restracomp application cover page, they may be eligible for
funding through these restricted funds.
Please Note - the project is not rated, however it may be used as a guide to ensure:
• That it is appropriate for the level of trainee and duration of training
• Consistency with the strategic goals of research at SickKids
• You describe whether you are eligible for restricted funds from the SickKids Foundation,
if approved for funding. (see below)
To be considered for Centre for Brain & Mental Health (C-BMH) restricted funding,
please:
• Submit a Letter of Intent no longer than one page clearly outlining how your proposed
fellowship training exemplifies the goals of the C-BMH by September 8, 2014 noon
directly to the C-BMH Program Manager, Anna Gross: [email protected] .
• Check the corresponding box listed on the Restracomp cover sheet (Page 9)
For more information on the C-BMH Integrative Research Training Fellowship:
http://my.sickkids.ca/research/research-training-centre/Pages/Restracomp_CBMHIntegrative-Fellowship-Info.aspx
For more information on the C-BMH NeuroDevNet Fellowship:
http://my.sickkids.ca/research/research-trainingcentre/Pages/Restracomp_CBMH_NeuroDevNet-Integrative-Fellowship.aspx
To be considered for all other restricted funding, please:
• Check one of the applicable research areas listed on the Restracomp cover sheet (Pg9)
• Include a 150-word summary of how the research relates to the restricted funding
research area.
6
Face Sheets of
Applications to
External
Agencies
All Restracomp applicants are required to seek external support.
All applicants must provide one of the following:
• Face sheets of their own (not the supervisor’s) applications to external agencies
• A letter of intent for future applications (signed by supervisor)
• A statement of why they are not eligible for external agencies (signed by supervisor)
If an applicant will be holding external funding after September 1, 2014, please submit a
copy of the Award Notice with the application.
Statement from
Category G
Applicants
(signed)
The fellow and/or supervisor must explain the goal of this additional research training to
help the committee understand the added benefit to the trainee.
Ontario Student
Opportunity
Trust Fund
(OSOTF) Form
Graduate students (Category A-D only) who are Canadian Citizens or Permanent
Residents and plan to or are studying at University of Toronto must fill out the OSOTF
form (Pages 13 and 14) as part of their Restracomp application.
Restracomp stipends for graduate students are derived from the Matching Funds Program,
generated by the University of Toronto, Sick Kids Foundation and the Province of Ontario.
If recommended for funding, we will apply for funding to the Matching Funds Program on
your behalf. More information can be found on Page 12.
Reminder
Ensure sufficient time is given to receive all documents from outside sources (e.g.
transcripts, referee letters/forms). Incomplete or late applications will NOT be accepted. It
is the applicant’s and supervisor’s responsibility to ensure the application is
complete and submitted on time.
Contact
Information
Email: [email protected]
RTC office: PGCRL, 3rd floor East
7
Appendix A: Categorization of Student and Fellow Applications
Categories
A
B
Graduate
Student
Research
Fellow
Degree Level Completed
Bachelor’s
Seeking
Funding Duration
Restracomp
Stipend
(maximum)
$22,000
Master’s*
Up to 2 years from the start date
of the degree program*
Bachelor’s (within first two years of PhD
program)
PhD
Up to 5 years from the start date
of the graduate program.
$22,000
Bachelor’s (with greater than two years in PhD
program completed)
PhD
Up to 5 years from the start date
of the graduate program.
$22,000
Master’s
PhD
Up to 4 years from the start date
of the degree program.
$22,000
C
MD (with license)+
Master’s**
Up to 2 years from the start date
of the degree program.
$40,000
D
Nursing or health professional degree (with
license)***
Master’s**
Up to 2 years from the start date
of the degree program.
(see Table 8.2.1
in Policy)
F
PhD or MD (without license) within two years of Fellowship
completion of degree
2 years from requested start date
and within one year of award
notification.
$33,750
G
PhD with greater than two years postdoctoral
experience
Fellowship
2 years from requested start date
and within one year of award
notification.
$33,750
H
MD (with license)+
Fellowship
2 years from requested start date
and within one year of award
notification.
$40,000
I
PhD and Nursing or health professional degree
(with license)**
Fellowship
2 years from requested start date
and within one year of award
notification.
$33,750
*Students who successfully reclassify from a Master’s to a PhD program while funded by Restracomp will be eligible for up to five years of funding from the start
date of the graduate program.
**PhD-level clinicians are not eligible for Restracomp funding. Please refer to the Clinician-Scientist Training Program (CSTP) for more information.
*** Only to applicants who are Nursing/Professional Services staff at SickKids. Must provide copy of nursing/prof.services license at the back of the application
package.
+MDs must provide copy of Medical license at the back of the application package.
8
DEADLINE:
Tuesday October 7, 2014
12:00PM noon
RESTRACOMP OCTOBER 2014
Application Due Date: Tuesday October 7, 2014 by 12:00PM noon
Applicant Last Name
Applicant First Name
Restracomp Category
(A-I)
Supervisor’s Name
Supervisor’s RI Scientific Appointment
RI Program
All Applicants
•
•
•
•
Use the most recent downloadable version of Adobe Reader to complete this application
Include this document as the cover sheet for your application
Check off each item to ensure application package is complete
All documents must be in the order of this checklist
• This application must be uploaded in ONE pdf to: http://RestraComp.research.sickkids.ca on
Google Chrome
• INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
Please refer to pages 1-8 of this package for any questions on application components
 Research Training Centre Registry Form
 Official Transcripts
 Referee Letter(s) and/or Form(s)
 Supervisor’s Evaluation of Applicant
 Brief Description of Trainee’s Project
Access to Restricted Funds:
IF APPLICABLE, please check one of the below if it relates to your area of research. Please include the
applicable summary required as listed on page 6 of the application package.
 Cancer/Childhood Cancer
Centre for Brain & Mental Health (C-BMH):
 Neuroblastoma
Integrative Research Training Fellowship
 Cardiology
 C-BMH-NeuroDevNet Fellowship
 Psychology
 Face Sheets of Applications to External Agencies
 Curriculum Vitae
For specific categories, please submit these additional documents:
 Category A to D Applicants: Proof of enrolment in graduate program
 Category A to D Applicants: OSOTF form (Canadian Citizens or Permanent Residents only)
 Category C and H Applicants: Copy of valid MD license
 Category D Applicants: 1)Copy of valid Nursing/Prof Services license
2)Please state number of hours worked per week during funding period
 Category F to I Applicants: Copy of Memorandum of Understanding (if Available)
 Statement from Category G Applicants (must be signed)
Signatures
My signature below confirms that the information provided in this application package is correct, and acknowledges
that I am familiar with, and will abide by all Restracomp policies.
Applicant’s Signature _______________________________
Date_______________
Supervisor’s Signature______________________________
Date_______________
RTC TRAINEE REGISTRY FORM
All full-time graduate students and post-doctoral fellows conducting research at SickKids for
one year or more are required to fill out the following RTC Registry form.
This form should only be filled out for trainees who do not have a SickKids’ Windows username and
password. If you have a SickKids’ Windows username and password, you must fill out the form
electronically here: http://earl.research.sickkids.ca/login
Last Name
Personal
information
First Name
SickKids’ Employee
Badge Number
Sex

Female

Male
Home Mailing Address
Contact
information
Telephone Numbers
Lab: __________________
Home: _____________________
Office: _________________
Cell: _____________________
E-mail Address
Citizenship
information
SickKids’
position
Citizenship/Immigration status

Canadian citizen or Permanent Resident of Canada

If you are not Canadian, please check box and attach a copy of your immigration status
information (e.g. copy of work permit, visa).
Please select current SickKids’ position:

Graduate Student

Research Fellow
Please fill out previous and highlight current academic/training:
Degree/
Training
Type
Bachelor’s
Degree
Master’s
Degree
Academic/
Training
information
MD or
Equivalent
PhD
Degree
Other
Education
Post PhD/
MD
Training
June 2014
Start Date
(yy/mm/dd)
Date Received
or Expected
(yy/mm/dd)
Institution
(state country,
if not in Canada)
University
Department
Program of
Study/Discipline
RTC TRAINEE REGISTRY FORM
Post PhD/
MD
Training
Post PhD/
MD
Training
Last Name
First Name
Supervisor
information
SickKids Research
Institute Appointment
 Scientist
 Associate Scientist
SickKids
Research Institute
Program







 Sr. Scientist
 Other: __________
 Sr. Associate Scientist
Cell Biology
Child Health Evaluative Sciences
Developmental & Stem Cell Biology
Genetics & Genome Biology
Molecular Structure & Function
Neuroscience & Mental Health
Physiology & Experimental Medicine
University Appointment
(specify University if not UofT)
Current source(s) of funding (please check all that apply):
Funding
information

Supervisor’s Grant
 External Award (please specify): _____________________________

Restracomp/CSTP
 University Award (please specify): ____________________________

Other (please specify): _________________________________________________________
My signature on the Restracomp application cover page confirms that the information provided on this form is correct, and
that I agree to become familiar with, and abide by, all policies of the Research Institute, available through the Policies &
Procedures database and through the SickKids Intranet. I will inform the Research Training Centre (RTC) immediately should
there be any changes to this information.
By signing this application package, I consent to the collection, use and disclosure of my personal information by the RTC
during the course of my involvement as a trainee for the purposes set out in The Hospital for Sick Children Research Institute
Policies on Research Trainees (available through the SickKids Intranet site.)
Note: New trainees working in a wet lab setting MUST attend the Hospital’s Safety Seminars if they are working in a wet
laboratory setting: Register online (http://riweb.sickkids.ca/)
Please complete this form and ensure you have attached the following:
 Non–Canadian Citizens - copy of your immigration status information (e.g. work permit, visa).
June 2014
GRADUATE ONTARIO STUDENT OPPORTUNITY TRUST FUNDS (OSOTF) AWARD
FINANCIAL NEEDS ASSESSMENT FORM
INTRODUCTION:
The "OSOTF awards" refer to a class of awards, which have resulted from Ontario government's
"matching" program. Under the program every dollar of donation received for student assistance has
been matched by the government as well as the university on a dollar-for-dollar basis. There are two
major conditions for all OSOTF awards. Recipients must be Ontario residents and demonstrate financial
need.
ELIGIBILITY:
OSOTF awards are restricted to the residents of Ontario who demonstrate financial need, according to the
provincial government's guidelines on OSOTF program.
For the purpose of OSOTF awards, an Ontario resident is either a Canadian citizen or a permanent
resident of Canada who has an Ontario mailing address at the time the award is made.
Financial need can be demonstrated by past OSAP history or by completing the attached financial needs
assessment form.
If you have already been assessed for the Ontario Student Assistance Program (OSAP) or the University
of Toronto Advance Planning for Students (UTAPS), complete sections 1, 2 and 3 only. If you have
applied for OSAP, but did not receive the result of assessment, complete this form. If you have not
applied for OSAP, complete the form also.
In addition to the financial and residence requirements, there may be other selection criteria for the
OSOTF awards. Consult your graduate unit or the Fellowships and Loans Office for details.
The University of Toronto respects your privacy. Personal information that you provide to the University is
collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose
of administering admissions, registration, academic programs, university-related student activities,
activities of student societies, financial assistance and awards, graduation and university advancement,
and for the purpose of statistical reporting to government agencies. At all times it will be protected in
accordance with the Freedom of Information and Protection of Privacy Act. If you have questions, please
refer to www.utoronto.ca/privacy or contact the University Freedom of Information and Protection of
Privacy Coordinator at 416-946-7303, McMurrich Building, room 201, 12 Queen's Park Crescent West,
Toronto, ON, M5S 1A8.
Ontario Student Opportunity Trust Funds (OSOTF)
Financial Needs Assessment Form
Note: To be completed only by the applicants who are in financial need.
Section 1
Name:
Student Number:
Home address:
University of Toronto Department:
Email address:
Telephone number: (
)
-
Section 2
Have you applied for OSAP/UTAPS?
____________
Have you received the result of the OSAP/UTAPS assessment?
_____________
Section 3
If you know the names of the OSOTF awards that you are applying or being considered for, list them
below.
THE HOSPITAL FOR SICK CHILDREN FOUNDATION STUDENT SCHOLARSHIPS
AT THE UNIVERSITY OF TORONTO.
Section 4
Marital Status
Children
Other
dependents
Married
Do not include children who have been out of high school for at least 5 years.
____
Number of dependent children
____
Number of other dependents
Relationship:
Section 5
Declaration
I hereby certify that I AM A PERMANENT RESIDENT OF ONTARIO and the information provided on
this application is, to the best of my knowledge, true and complete. I understand I may be required to
supply documentation, specifically my tax return (or spouse's, if applicable), for the previous year, if this
application is successful and if I am requested to do so.
_____________________________
Signature of applicant
__________________________
Date
Budget Outline:
Please provide the following summary for the twelve-month period from January 2015 – December 2015.
Resources:
Amount
External or Internal (HSC) Awards
(Specify source and amount)
2
1
Expenses :
Amount
Fees (University)
Research Assistantship
Books & Academic supplies
Teaching Assistantship
Rent/Mortgage & Utilities
Additional Income
Food & Household supplies
Income of Spouse/Partner
Transportation
Less Tax
Child Care
Total Net Income
Medical/Dental
OSAP/UTAPS
Clothing
Savings (Please specify amount
and source)
Other expenses (specify)
Total
Total
1
Include all expenses for your spouse/partner, if applicable.
If your graduate department provides a guaranteed stipend, you should include that amount as a
resource in your budget. Please note that the needs-assessment we perform may be used either to locate
particular sources of funding for that stipend, and/or to augment the total amount of funding you will receive.
2
Additional Information:
If there are additional details that you wish to provide, please use the space below. Outstanding student
loans may be listed below.
FOR RESEARCH TRAINING CENTRE USE ONLY:
Date Approved: ___________________
Signature: ________________________
RESTRACOMP OCTOBER 2014
Nursing and Health Professional Services – Category D
Letter of Intent (Optional)
Please submit this form to [email protected] for review by Friday September 12, 2014 if you are unsure
whether or not your application qualifies for Restracomp funding.
Applicant Last Name
Applicant First Name
Supervisor’s Name, RI Scientific Appointment
Degree program seeking
Project Title
Brief description of trainee’s research project
Restracomp
Category (A-I)
RI Program
Course and/or thesis-based?
D