Vice Dean Research Office
2D01 Health Sciences Building
Telephone: 306-966-8119
Web: www.medicine.usask.ca
107 Wiggins Road
Saskatoon SK
Fax: 306-966-6164
S7N 5E5
Canada
Dean’s Summer Research Projects Application
Please complete the application, ensuring to answer all questions below and submit a PDF copy to Lawrene
Toews (Lawrene.toews@usask.ca) in the Vice Dean’s Research Office by January 15th, 2016. The application
should be completed by both the student and the supervisor for one potential project. Text boxes will expand
as you complete the application. Size of the text box does not indicate length of answer; please provide
adequate information for each section.
Project Details
This section is to be completed by the student with guidance from their supervisor.
Project Title
Start Date
Project Type
End Date
New Project
Research Type Biomedical
If other please specify:
Project Location
If other please specify:
Regina
Background – Please provide the background information relevant to this project and the hypothesis proposed
below. (500 word maximum)
Hypothesis – A clear statement of the research question(s) and hypothesis(s). Both are important. This should
clearly relate to the background material. (250 word maximum)
Methodology - Provide as much detail as required so that the reviewers can adequately review the validity of the
approach taken to addressing the research question(s) and how it relates to the hypothesis(s). For example: How
many patients will be recruited or number of charts to be reviewed? How was this number determined? How many
samples will be required? (500 word maximum)
Project Assistance – Does this project require statistical analysis?
Yes
No
If Yes, please identify below who will be giving statistical advice on the design and analysis. (100 word maximum)
Timeline – Provide sufficient detail so that the reviewers can clearly review the feasibility of the study. How will
the project be completed during the 10-week timeframe? What is the approximate date for completion of lab/field
work/data collection? What is the approximate date for completion of data analysis? (200 word maximum)
Key Words - Provide up to five keywords.
Expected Outcomes – summarize the expected outcomes that may result from the project. (250 word maximum)
Significance - Significance of the research. For Example: What are the expected benefits to health care in the
province? (250 word maximum)
This proposal was written by:
The Student
The Supervisor
Supervisor Portion
Name
Email
Phone Number
NSID
Needs Cancer Agency Approval:
Yes
Needs Cancer Registry Data:
Yes
Department
No
If Yes Status:
No
If Yes have arrangments been made with Agency and approval letter is attached: Yes
**Note: The Cancer Registry requests all applications to work with their data be submitted by Dec. 15th to
ensure review & approval. Please contact Serena Kozie (serena.kozie@saskcancer.ca ph:639-6252045) for more information.
Does this project require Ethics: Yes
No
If Yes have you discussed this project with the ethics office:
Yes
**Note the ethics office can be consulted via email prior to submitting - ethics.office@usask.ca
Supervisor Background – Please complete the questions below if applicable.
Have you supervised an undergraduate summer student in a research project previously?
If Yes, in what year(s)
and what was the name(s) of the student(s)?
Have you trained/mentored an MSc or PhD student?
Are you involved in residency training?
Have you managed or been the principal investigator for a research project?
Have you taken the Tri-Council online training module on ethics?
Yes
No
Project Assistance –Will the student be requiring assistance with the project and if so what type of
assistance is needed?
Assistance Needed:
Person(s):
Intellectual Property – Are there any pre-existing contracts that impact on the student’s ability to be
listed as an author on a resulting publication?
Publications - If the results are sufficient to ultimately submit for publication, who is expected to write
the first draft of the manuscript, and what will be the order of the authors?
Write First Draft:
Order of Authors:
Contingency Plan – If the research project is delayed for any reason, what is the backup plan for the student to
gain research experience? (100 word maximum)
Student Portion
Name
Phone Number
Email
NSID
Graduating Year
Student Statement - Provide a short statement describing why you want to be involved in research and
this particular project.
Background - Please describe your background, experience and abilities that will allow you to
competently and successfully deliver on this research project. (100 word maximum)
Deliverables - Please describe the duties and responsibilities you will be expected to deliver. For
Example: What are the research training and learning objectives for you? Please be as specific as
possible. (100 word maximum)
Agreement Acknowledged by Student and Supervisor
Please print off this portion of the application, ensure signatures are obtained below from both the supervisor
and the student acknowledging the agreement and scan and submit with your project application or drop off
the hard copy of this page at the Vice-Dean Research Office – Room 2D01 Health Sciences Building.
Applications will not be considered if this page is missing or incomplete.
I agree, to the best of my ability, that the information above is correct and that the duties and responsibilities have
been mutually agreed upon by both parties.
I understand that the research project must be completed within the 10 week time frame and that both a report and
poster presentation will be submitted based on the outcomes from the 10 week time frame. There will be no
extensions granted regardless of circumstances.
I understand that if the student is dissatisfied with the supervision and has been unable to resolve the issue with the
supervisor they may contact the Office of the Vice Dean Research for assistance.
I understand that if the supervisor is dissatisfied with the student preformance and has been unable to resolve the
issue with the student they may contact the Office of the Vice Dean Research for assistance.
I understand by submitting a completed copy of this application I have agreed to the above terms.
Please complete below to verify agreement:
Student Name:
Signature: _____________________________________________
Date: ___________________________
Supervisor Name:
Signature: _____________________________________________
Date: ___________________________
Please submit a PDF copy of this completed application to Lawrene Toews
(Lawrene.toews@usask.ca) in the Vice Dean Research Office within the College of Medicine. The
Agreement Acknowledged by Student & Supervisor can either be signed and attached to this
application or a hard copy can be dropped off at the Vice Dean Research Office – Room 2D01
Health Sciences Building - D Wing, 107 Wiggins Road, Saskatoon, Sk.