To complete this form, it is important that applicants read and follow the information in the How to Apply guide on this site. As indicated in that guide, in addition to the form below, applicants need to submit written supporting documentation that substantiates the data and other information provided in this application form.
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Summary Information
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Project Leader
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Project Timing
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Day Month Year
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Start Date (actual or proposed)
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Proposed Completion Date
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Project Readiness Factors
(For each applicable Factor, provide date by which the project has received or is anticipated to receive) |
N/A DayMonth Year |
| Approval in Principle by Governing Board of Institution |
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| Engineering Designs and Regulatory Approvals |
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| Funding from all other sources confirmed in writing |
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Confirmed contractor start date |
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| Letter from province/territory confirming project as a priority |
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Areas of Benefits for Institution (identify extent to which project is designed to generate benefits — use Other category as needed to ensure total is 100%) |
| Improves use of existing research and development space |
%
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| Improves functionality and efficacy of research and development space |
%
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| Increases energy efficiency and reduction of emissions |
%
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| Upgrades the health and safety of research and development facilities |
%
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| Improves incubation facilities for industry and research |
%
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| Increases capacity to train students in advanced knowledge areas |
%
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Other (describe in up to 25 words)
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%
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Extent of Benefits (describe in up to 100 words the impact on your institution over the next five years, using numbers where possible i.e. number of researchers affected, percent reduction in emissions, etc.)
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Aboriginal Considerations |
| Are there Aboriginal groups or communities in the project area? |
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| If yes, could the project have adverse effects on these groups? |
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| Have Aboriginal groups been consulted about the project? |
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Project Summary (up to 50 words. Suitable for press release on approved projects)
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Description of how the project supports Canada's Science and Technology Strategy (up to 50 words)
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