Alberta SPOR KT Travel Award - Cochrane Canada Symposium 2017
May 11-12, 2017 | Hamilton, ON
Email *
Name (first & last) *
Affiliation (University/Department/Institution) *
Position (graduate student/faculty) *
Phone number *
EXPRESSION OF INTEREST
Please complete the following three questions to describe your interest in attending the Cochrane Canada Symposium 2017.
1. Describe your previous experience in knowledge translation, knowledge synthesis, or implementation science? (max 300 words)
2. How will attending Cochrane Canada Symposium 2017 enhance the work you are currently doing? (max 300 words) *
3. Describe how your research or work is patient-oriented? (max 300 words) *
"Patient-oriented research engages patients as valued partners in the research process. It focuses on priorities that are identified by,  and important to, patients. It involves patients, researchers, health care providers, and others working together in collaboration" (http://www.cihr-irsc.gc.ca/e/49232.html).
EXPENSES
Please estimate the cost of travel to the best of your ability. All successful applicants must provide proof of payment for flights and accommodations within 10 days of the last day of the Symposium (May 22, 2017).
Registration
Airfare
Ground Transportation
Accomodation
Meals
Other
If "other", please expand on the nature of these expenses
Total Expenses *
Sum of all expenses listed above.
FUNDING SOURCES
Please disclose the amount of funding you are receiving or have applied to receive for the Cochrane Canada Symposium outside of the Alberta SPOR KT Travel Award.
Funding from Department
Funding from Faculty
Funding from Supervisor
Other
Describe "other"
Total of "Funding Sources" *
Sum of all amounts listed in "Funding Sources" above. If you have not received any funding for travel and are not applying for other awards to support your travel to the Canada Cochrane Symposium, please enter 0 (zero) here.
FUNDING SHORTFALL
Total Expenses (section 4) minus Total of Other Funding Sources (section 5)
Funding Shortfall: *
TERMS & CONDITIONS
Please read and respond to the terms and conditions of the Alberta SPOR KT Travel Award.   *
I agree that all information in this application has been completed in full and contains accurate information about travel costs associated with the Cochrane Canada Symposium. I agree that I have withheld no information regarding other funding sources supporting my travel to the Cochrane Canada Symposium. I agree and acknowledge that successful applicants are required to provide proof of registration in order to claim expenses related to travel. I agree and understand that all expense claims are due 10 days after the completion of the symposium (forms will be provided to the successful applicants).
Required
Please declare if you have any conflict of interests with the Alberta SPOR KT Travel Award. *
Required
If you answered "Yes, I have a conflict of interest", please expand here:
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