Dept of Pediatrics Innovation Award

Please review the application guidelines.

Need Help?

Please contact Ashton Chugh (chugha@ucalgary.ca) if you have difficulties completing this form or have questions about the application process.

Project Title

Project Lead First Name

Project Lead Last Name

Project Lead Email

Confirmation reciept will be emailed to this address.

Please list the project team members

List all applicants, include their name, affiliation and role (Project lead, co-Lead, project team member, specify if they are a trainee).

Key Theme

Project Summary

200 words or less. Explain your idea using plain language.

Why this is important

Why is this an innovative or novel idea? What knowledge will be obtained, what improvements to health will result? Who will be impacted?

How you are going to do it?

Description of how you will get it done and who will do the work. Include a timeline, which should be 1-2 years maximum. Outline how this will get done on top of the team members existing responsibilities/commitments.

What will this lead to?

Is this the start of something bigger? What is the potential impact of the project?

Project Budget

Choose file

Download budget template here
One file only.
100 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, xlsx, xml.

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