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 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 firstname.lastname@example.org.