Department of Medicine Graduate Student Award Application Notification Form
Please complete this form by Monday, April 1, 2019.
Fill out this form to notify the Department of Medicine that you have submitted an application via the SGS OGS online application system and would like to be considered for a QEII-GSST award in the Department of Medicine.
Have you completed the SGS - OGS portal application? *
If not please complete this step by Monday, April 1, 2019. SGS- OGS portal;
Have you reviewed the eligibility requirements for QEII-GSST awards? *
Does your supervisor have a primary appointment in the Department of Medicine? *
Please use the DoM faculty directory to check if your supervisor holds an appointment with us;
Are you working on a thesis based degree? *
Are you, or will you be, enrolled in full time studies as of September 2019? *
Your Last Name *
Your answer
Your First Name *
Your answer
UofT student number *
If you have not yet been assigned a student number please enter "pending".
Your answer
Your Email Address *
Your answer
Department *
This is the department where you are pursuing graduate studies.
Your answer
Are you a Masters or PhD student? *
Are you part of, or have you applied to, the Eliot Phillipson Clinician Scientist Training Program (CSTP)? *
What year of study are you beginning next September? *
If successful, when would you like your award to start? *
What is the title of your proposed research project? *
Your answer
What is the name of your supervisor? *
Your answer
Where is your supervisor's graduate appointment? *
Your answer
What Department of Medicine division is your supervisor affiliated with? *
Your answer
Where will you be conducting your research? *
Please indicate which award you would like to be considered for (you can select more than one): *
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