Application Form

1. Applicant Information

First name *

Last name *

E-mail *

Department *

Faculty *

How did you hear about us? *

If you selected Other, please specify:

Equity Identification

The 69热视频 Innovation Fund is committed to creating an equitable, diverse and inclusive research environment. Completion of this self-identification section will help to develop inclusive and accessible funding programs. It will not be sent to reviewers. These questions may be answered by the main applicant for the project. Other team members will be invited to complete a similar form if the project is selected for funding.

I self-identify as a woman *

I self-identify as an Indigenous person (First Nations, Inuit, or M茅tis, status or non-status) or Native American from the USA *

I self-identify as a person with a disability (significant or persistent physical, mental, sensory, psychiatric or learning impairment) *

I self-identify as a racialized person or member of a visible minority *

My mother tongue is neither English nor French; and I am NOT a racialized/visible minority or an Indigenous person *

I self-identify as a person of minority sexual orientation or gender identity (2SLGBTQIA+) *

2. Project Information

Project name *

Funding Stage *

Please select which funding stage you are applying for. ATTENTION: projects deemed to be incorrectly targeted will be rejected. Please select carefully.

DISCOVER STAGE

DEVELOP STAGE

DEPLOY STAGE

AMR award *

I wish to be considered for the AMR supplemental award

Yes

AMR Supplemental award submission

By selecting this option you confirm that a significant goal of your project is to prevent, diagnose, or treat resistant bacterial and fungal infections. Projects that have not developed this specific objective sufficiently well will not be considered eligible for the supplemental award. All projects wishing to be considered for the AMR supplemental award will be reviewed by a 69热视频 AMR Centre executive member to ensure compliance with this condition. Any entries deemed to not meet this standard will be rejected.

AMR Confirm *

By selecting this option, you agree to the terms set out above.

I agree

What is the Report of Invention number? *

Only projects with an accepted Report of Invention (ROI) as declared to the Office of Innovation + Partnerships are eligible to participate in the program. For applications to the Deploy Stage, you must have a license agreement in place with 69热视频. Enter the associated ROI number(s) in this space.

Do you have a partner outside of the university? *

NGO/NPO

Government

Corporate

No external partner

If yes, please indicate the partner name here

Project outline (150 words max) *

Provide a brief, non-technical summary of the project, clearly indicating its potential for impact (social, environmental, or other).

Project documentation

The following section is composed files to be uploaded by applicants. All relevant templates are available on the "How to Apply" page.

Presentation *

The applicant must upload a single PowerPoint (.ppt or .pptx) file, with file naming as follows: "Lastname_Firstname_MIF_FUNDINGSTAGE.ppt/pptx" (e.g. Smith_John_MIF_DEVELOP.ppt). In the event you do not have access to PowerPoint, you may submit a PDF file. For details on how to prepare your presentation, consult this page:/innovation/mif/how-apply/how-prepare-your-presentation
Files must be less than 20 MB.
Allowed file types: pdf ppt pptx.

Video *

All applicants must submit a one-minute video to explain the project in your own words. Phone quality is acceptable. All participating team members must be presented in the video. Details on what to include in your video can be found here: /innovation/mif/how-apply/how-prepare-your-video
Files must be less than 30 MB.
Allowed file types: avi mov mp3 ogg wav.

Optional attachments

You may wish to upload other supporting materials such as a letters of support from an external partner, a PowerPoint presentation, or image files to support your application. Note that if you wish to submit multiple files, you must combine them into one file (PDF).
Files must be less than 20 MB.
Allowed file types: gif jpg jpeg png bmp rtf pdf doc docx ppt pptx xls xlsx.

Leave this field blank

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