Indicates required field By completing and submitting this application I declare that the following is true:* Declaration2 I have read the application requirements. Available here: Application Requirements **Updated August 2021** Declaration1 I have read the award eligibility criteria Available here: Eligibility Criteria Declaration3 I meet the eligibility criteria for this bursary. Declaration4 I will provide information that, to the best of my knowledge, is complete, true and accurate. I understand that failure to provide complete, true and accurate information may prevent my receiving a scholarship/bursary now or in the future. Declaration5 I understand that it is my responsibility to notify the Trust of any changes to this application, including but not limited to, changes to the budget amounts or withdrawal of the application. Declaration6 If my application is successful, I authorize the Trust to use my name for publicity purposes regarding the recipients (including publication of a list of successful applicants). A. Principal Investigator First Name: Last Name: Email: All application notifications are sent via e-mail. Please use an address that you check regularly. CRNNL Registration Number: If you do not know your registration number, please check the CRNNL Member Search. Social Insurance Number: Your social insurance number is required for income tax purposes. In the event that an application is submitted with a SIN, the Trust reserves the right to withhold funding until the number is provided. Have you received or been part of a research team that received a Trust Nursing Research Award in the past 2 years? Yes No Project Title: Year Received: Your Role: Your Role: - None -Principal InvestigatorCo-InvestigatorThesis AdvisorResearch AssociateOther (please specify): Enter other… Project Title: Year Received: Your Role: Your Role: - None -Principal InvestigatorCo-InvestigatorThesis AdvisorResearch AssociateOther (please specify): Enter other… Project Title: Year Received: Your Role: Your Role: - None -Principal InvestigatorCo-InvestigatorThesis AdvisorResearch AssociateOther (please specify): Enter other… Project Title: Year Received: Your Role: Your Role: - None -Principal InvestigatorCo-InvestigatorThesis AdvisorResearch AssociateOther (please specify): Enter other… Leave this field blank