Please complete the following fields to register for the Team Grant competition Principal Investigator (PI) First Name * Principal Investigator (PI) Last Name * VCH/PHC Job Title * E-mail address * Phone (work) * VCH/PHC program/dept * University faculty appointment (if applicable) Are you a full-time/part-time VCH staff? * Yes No Is this a permanent position? (vs. temporary, contract, etc) * Yes No Are you a VCH/PHC physician? * Yes No If so, is VCH your primary place of work (vs. private practice or another health organization) * Yes No N/A - Not a physician Who is your program/dept manager who will be signing the application * Please provide name as well as position In which VCH/PHC HSDA(s) do you work? * VCH - Richmond VCH - Coastal VCH - Vancouver (Acute) VCH - Vancouver (Community) PHC What is the name of the site/building that best describes where your primary work site? * Co-Principal Investigator (Co-PI) name, department, & academic institution * Briefly describe the research expertise the Co-PI brings to the team, including their current area of research * Co-investigators (names, programs/departments, and organizations (if not VCH)) * What is your proposed research question or hypothesis? (Maximum 600 characters) * Keyword 1 (used to facilitate peer-review process) * Keyword 2 Keyword 3 Do you plan to have a patient or family partner on your team? * Yes Maybe No Are you interested in support to develop a patient-oriented approach to your research project? * Yes Maybe No As the proposed PI, have you read all of the eligibility criteria in the competition guidelines and determined that you are eligible to apply and your project fits the competition? * Yes No Have you ever held research operating funds from an external funding agency? * Yes No If any of the above information changes after registration submission, please send the revised registration form to education.award@vch.ca. Leave this field blank