Dear Applicants:
Please review the Eligibility criteria guidelines and the Checklist below before
completing the Research Awards Application Form and submitting your documents.
Eligibility:
The purpose of the 2016 Postgraduate Research Awards is to provide financial assistance to
students engaged in medical research.
Guidelines:
 Most awards are for Postgraduate Trainees (MDs) registered with the PGME office.
Awards will range from $500 to $12,500.
 A small number of awards are for graduate students who are doing medical research
and are registered with the University of Toronto, School of Graduate Studies. Awards
will range from $50 to $1,300.
 All applicants are rated and the top ranked applicants are assigned the awards
according to the terms and conditions of each award.
 The research funding awarded from this competition is for future research to be
completed during the 2016-17 academic year. Funds (prize money) will be paid in 12
equal monthly installments, with the first payment commencing at the end of July 2016.
 Applicants are not required to apply for a particular award. Applicants complete and
submit a general application on the PGME website
http://www.pgme.utoronto.ca/content/postgraduate-research-awards
 Applicants must be supported by their Supervisor and Chair where they will be doing
their research.
 The deadline for submission of all application packages to the Postgraduate Office is
4:00 pm on Friday, April 8, 2016.
 Please send the completed application package (original plus 1 copy) to:
Arlene McKinley
Coordinator, Certificates & Awards
Postgraduate Medical Education Office
500 University Avenue, Suite 602
Toronto ON M5G 1V7
Checklist:
Be sure you have included:
 Application Form completed and signed
 Applicant’s up-to-date Curriculum Vitae including all appointments since your first degree
and complete list of publications
 A ONE PAGE research proposal
 Three academic reference letters (including one from the proposed research supervisor)
2016 POSTGRADUATE RESEARCH AWARDS APPLICATION FORM
APPLICATION INFORMATION
1. Name: ______________________________________________________________
2. Mailing Address: ______________________________________________________
______________________________________________________________________
______________________________________________________________________
3. Telephone: ___________________________ Email: __________________________
4. Title of research paper: _________________________________________________
______________________________________________________________________
______________________________________________________________________
Proposed Research Supervisor (Print): _______________________________________
Name of Department (Print): _______________________________________________
Name of Department Chair (Print): __________________________________________
Endorsed by Department Chair
(signature or supporting letter): _____________________________________________
5. Will you be registered with PGME for the 2016-2017 academic year (from July 1,
2016 to June 30, 2017)? Yes
No
6. Will you be registered with the University of Toronto, School of Graduate Studies for
the period of July 1, 2016 to June 30, 2017? Yes
No
7. Are you between the ages of 18 and 65 years? Yes
No
8. Are you legally eligible to work in Canada according to Canadian Immigration and
Employment regulations? Yes
No
9. Are you currently proceeding or planning to proceed to an additional degree?
Yes
No
If yes, give Degree, Institution and Year Expected.
______________________________________________________________________
10. Please describe the appointment you will hold during the tenure of the award (from
July 1, 2016 to June 30, 2017).
______________________________________________________________________
PGME Research Awards Application Form rev Jan 2016
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2016 POSTGRADUATE RESEARCH AWARDS APPLICATION FORM
11. What is your main field of interest?
12. List the goals of training made possible with this Award.
13. List below degrees and diplomas obtained, giving Institution, Date and Discipline.
Please attach University transcripts (Photocopies are acceptable).
14. Anticipated dates of your Residency/Fellowship:
15. Have you applied for other funding? Yes
If yes, list agencies.
16. Has other funding been secured? Yes
dates for the past three years.
No
No
If yes, list agency, amounts and
17. Names of three referees (including the proposed research supervisor). Candidates
will submit their letters of reference attached to this application.
1.
2.
3.
PGME Research Awards Application Form rev Jan 2016
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2016 POSTGRADUATE RESEARCH AWARDS APPLICATION FORM
SUPERVISOR’S INFORMATION
18. Name & University Rank:
19. Department & Division:
20. Address:
21. Telephone: _________________________ Email: ___________________________
_________________________________________
Signature of Applicant
_________________________________________
Signature of Supervisor
_________________________________________
Date
PGME Research Awards Application Form rev Jan 2016
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