Resident Well-Being Promotion Grant (Resident Affairs)

Resident name *This question is required.

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

Phone *This question is required.

Program(s) included in event *This question is required.

PGY level(s) included in event *This question is required.

Number of trainees expected to attend *This question is required.

Amount Requested (up to $40/person, max $400) & Plan for Use *This question is required.

Proposed date(s) of event *This question is required.

Please provide a brief description of your proposed social experience and how it will bring residents together *This question is required.

Are there any additional sources of funding for this event? *This question is required.

Will program staff and/or faculty be present at this event? *This question is required.

Does this event precede, follow or is it otherwise connected with a program-led event? (e.g. orientation or retreat)

IF YOU HAVE ANSWERED YES TO ANY OF THE THREE PRECEDING QUESTIONS, PLEASE NOTE THIS GRANT DOES NOT APPLY. PLEASE EMAIL PGAFFAIRS@MCMASTER.CA IF YOU HAVE QUESTIONS.

I have read and reviewed the guidelines for this grant and agree to follow them. I am aware that all receipts must be in my name to be reimbursed. *This question is required.