Social Accountability Grant Application

Name *This question is required.

Email *This question is required. This question requires a valid email address.

Phone Number *This question is required.

Address *This question is required.

Address Line 1

Address Line 2

More Info

City
State/Province/Region
Postal Code
Country

Program *This question is required.

Name of Program Director *This question is required.

Name other trainees, faculty, staff involved in the social accountability initiative/project and their role.

Short description of proposed initiative/project. *This question is required.

If the initiative/project has any other funding support, describe where and with whom.

Expected duration of proposed project *This question is required.

Location of proposed project *This question is required. e.g., Hamilton, Niagara campus

If this project is part of a larger research program, describe how it fits with the larger process in 2-3 sentences.

Required Documents

Letter of Intent highlighting the initiative, previous activities, and involvement in social accountability, as well as a project summary to include: 1-background and rationale, 2-relevance to current conditions, 3-expected outcome/impact, 4-relevant equity considerations, potential sustainability impact. *This question is required.

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Budget - Include budget table and jurisdiction. Ineligible expenses include: statistical support, salary support for the resident or supervisor, university overhead, computers and other equipment unless integral to the study, publication costs in an Open Access Journal, and travel costs to attend a conference. *This question is required.

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Letter of Support from Program Director or Project Mentor *This question is required.

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