McGill Integrated Cancer Research Training Program
Registration form
Application for acceptance into the MICRTP
Please provide the following information:
Date: ………………………………………………………..
Accepted …………………. (yes/no)
Name (Last, First): ………………………………………………………………
Student ID: …………………………………………………
Institution: ………………………………………………..
Department: ……………………………………………………………….
Supervisor: ………………………………………………………..
Status (e.g. M.Sc. 1): ………………………………………………………
Graduate studies/ postdoctoral training start date: …………………………………………………..
Title of the program/project:
………………………………………………………………………………………………………………………………………………………………………
(e.g. Program: Kidney cancer and Project: The effect of the XXX inhibitor on the development of kidney cancer)
Project key words:
……………………………………………………………………………………………………………………………………………………………………….
Cancer type/site: ……………………………………………
Mailing address (at work):
…………………………………………………………………………………………………………………….……………
Phone number: ………………………………………
Email: ………………………………………………
Please provide following documents with your application:
1. Electronic copy of the transcript
2. Letter of support from the supervisor (template provided on the website)