Institutional Agreement Form (PDF)

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Signature and Submission Institutional Agreement
Principal Applicant:
Institution Administering Funds:
Institution Contact Information (primary contact person details):
The above Institution hereby approves the Application of the Principal Applicant and certifies and
undertakes to the Nova Scotia Health Research Foundation that:
• the Principal Applicant meets or will meet the eligibility requirements at the time of the announced
funding start date of the competition;
• the Institution is eligible to receive Tri-Council funds;
• the Institution agrees with the content of the application and will provide the committed resources;
• the information provided in the application meets all requirements and is consistent with institutional
policies;
• the Institution will ensure that any research carried out with funds from NSHRF/PHAC complies fully
with the policies and guidelines in the conduct of research and agrees to administer any grant/award
resulting from an application, according to NSHRF terms and conditions and financial obligations of using
NSHRF/PHAC funds;
• the Institution will investigate, by appropriate procedures, any allegations of conduct inconsistent with
the funding opportunity requirements and NSHRF terms and conditions in connection with the use of
NSHRF/PHAC funds;
• the Institution will report to the NSHRF the results of any investigation when an applicant or recipient
of NSHRF/PHAC funds has infringed the funding opportunity requirements or NSHRF terms and
conditions;
• the Institution will ensure that research carried out with the requested funds will respect national
ethics policies and guidelines and that ethics approval will be acquired from a duly constituted research
ethics board/committee;
• the Institution will provide grant/award holders with the necessary time to do their research;
• the Principal Applicant's research and knowledge translation activities conform to institutional policies
relating to intellectual property and conflict of interest;
• the Institution agrees to the public release of a summary of the grant or award and to publication of
the organization's name as a supporter of the initiative;
• the Institution will take every reasonable action to acknowledge NSHRF/PHAC funding in its
communications related to funded applications;
• the Institution has policies and procedures in place to ensure that the academic interests of students
and post-doctoral fellows are managed in the best interest of the trainee;
• the Institution has adequate safeguards in place to protect sensitive information entrusted to it by
NSHRF for the purpose of administering applications and resulting grants and awards; and
• subject to its intellectual property policy, the Institution will endeavor to obtain the greatest possible
economic benefit to Canada, with a similar aim to improve the health of Canadians, from any
commercial activity resulting from the research funding.
Signature VP Research (or equivalent representative) for Institution
____________________________________
Name (please print)
_________________________________
Position Title
____________________________________
Signature
____________________________________
Date
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