J. P. Bickell Foundation
MEDICAL RESEARCH PROGRAM
APPLICATION PROCEDURE
Grants are made to assist biomedical scientists of various departments and faculties in Ontario
universities, hospitals and scientific institutions concerned with medical research. These grants may be
distributed among medical research institutions and universities in Ontario.
One application may be submitted, by November 1 for the annual competition, from any medically
oriented faculty. These may be within the health sciences department of a university, or any faculty of
that university.
Medical institutes within a university or hospital must be approved to apply independently; otherwise they
must apply through the university or hospital research office. Independent research institutes may apply
directly.
CRITERIA
The Foundation will use the following criteria in assessing applications:
1.
Projects must have scientific merit and be primarily medical in nature.
2.
New researchers seeking start up grants receive priority.
3.
New, innovative projects receive priority.
4.
Applications submitted should most suitably fit the institutions' requirements and the Foundation's
criteria.
5.
Supplemental grants may only be made for equipment essential to the described project where
main source funding for equipment is unobtainable. For equipment costing more than $10,000
indicate the use, extent of use, availability of similar equipment and the current operating support
(see item B{c} on application form).
6.
Grants are usually within the $50,000 to $65,000 range.
7.
Grants are not made to cover deficits, or to supplement a project grant from another granting
agency (except for essential equipment).
THE APPLICATION FORM
1.
Application forms can be obtained from the Foundation; however, they will only be sent to the
department which oversees research administration for the institution.
2.
One application may be submitted from any one university, hospital or private research institute
for the annual competition. The application must be accompanied by a supporting letter from the
Director or Head of the Office of Research Administration, or the equivalent, at that institution
(see item 4 {iv} below).
3.
The applicant's/co-applicant(s’) curriculum vitae must be submitted with the application (see item
G on the application).
4.
The application form must be signed by:
5.
i)
the applicant / co-applicant(s)
ii)
the University:
- Department Chairman
and - Faculty Dean/Vice-Dean
iii)
the Hospital or independent Research Institute:
- Director or Head
iv)
the University, Hospital or Research Institute Office of Research Administration:
- Director or Head
The duly completed application form and supporting documentation are to be submitted to the
Foundation in triplicate (original and two copies), to the address on the application form, on or
before November 1st of each year.
The grant recipient will be notified within four months of the submission date, and full award amounts will
be issued to the institution at that time. All correspondence with regard to the outcome of the
competition will be between the Foundation and the office that submitted the application.
Questions should be directed to the Foundation’s Program Officer: Susan Rowbottom, by phone (416)
933-2257, fax (416) 933-2226 or e-mail: susan.rowbottom@scotiaprivateclient.com
2
The J. P. Bickell Foundation
c/o Scotiatrust
130 King St., W., 20th Floor
PO Box 430 Stn First Canadian Place
Toronto, Ontario
M5X 1K1
APPLICATION FOR MEDICAL RESEARCH GRANT
A. Applicant and Project Title
Applicant: ……………………………………………………………………………… Telephone # (……) ………………………
(Surname)
(First Name)
(Initials)
University/Hospital
Department: ……………………………………….. or Institution Name ………………………………………………………….
Mailing Address: ……………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………..
Project Title: ………………………………………………………………………………………………………………………….….
………………………………………………………………………………………………………………………..
Proposed - starting date : ……………………………
- duration of project ………………………
Where is the work to be done?
………….………………………………………..
B. Purpose of Funds and Budgets
Please provide details of items to be funded, as indicated below. (Please use a separate page if necessary)
a) Operating expenses (ie. salaries, rent, etc.)
Subtotal $ ………………………
b) Other items (ie. expendable supplies, animals, etc.)
Subtotal $ ………………………
c) Equipment (include quotations)
Subtotal $ ………………………..
Total Requested $ _________________
C. Other Funding Sources
Grants applied for, and received from, other granting agencies for the current year. Give names of
agency, amounts requested and, if granted, the period of the grant and title of the project. (Please
use a separate page if necessary.)
D. Brief Outline of Proposed Research Project
Indicate present state of knowledge, background and relevance of your proposed research
objectives; and a brief description of the research to be done, and how you think it accomplishes
your objectives. (Please limit to a maximum of 2 pages, one-sided and single-spaced, and attach as a schedule)
E. Research Plan
Indicate if the work is to be done by:
a) the applicant or co-applicants
b) a technical supervised assistant. (If the latter, please provide a full description of qualifications.)
F. Supplementary Material
A maximum of two relevant reprints, plus collaborative letter(s), if necessary. (These may be attached as
a schedule.)
2
G. Personal Data Form
Please complete one for each applicant/co-applicant and attach a current curriculum vitae for each.
Note: Both may be substituted with the CIHR/c.v. module
a) Surname and Given Names………………………………………………………………………………………………………...
(in Full)
b) Date of Birth ………………………………………………………………c) Citizenship ………………………………………….
d) Education
Degree
University or Institution
Field
Year
e) Research Training
Dates
From -To
Institution
Department
Supervisor
Department
Supervisor
f) Academic Positions Held (current & previous)
Dates
From -To
Institution
g) Publications
Total number (excluding abstracts) ____________
List papers published during past 5 years and indicate abstracts (Please use a separate page if necessary.)
3
H. Authorization/Signatures
Complete in full sections (a),(b),(d),(e),(f) OR (a),(c),(d),(e),(f) , as appropriate
a)
Applicant …………………………………………………..… ………………………………………………………………..
Full Name
Signature
Co-Applicant ………………………………………………… ……………………………………………..…………………
Full Name
Signature
Co-Applicant ………………………………………………… ………………………………………………………………..
Full Name
b)
Signature
University: Department of __________________________
Chairman …………………………………………………… …………………………..……………………………………
Full Name
Signature
University: Faculty of ______________________________
Dean or Vice-Dean …………………………………………. ………………………………………………………..………
Full Name
c)
Signature
Hospital or University/Hospital Research Institute: __________________________________________________
Director or Head ……………………………………………. ………………………………………………………………..
Full Name
d)
Signature
Office of Research Administration:
Director or Head ……………………………………………. ………………………………………………………………..
Full Name
Signature
Phone #………………… …………………….………. E-mail address:……………………………………………………
e)
Institution’s Registered Charitable Business Number____________________________________
f)
Date _______________________________
4