Breathing as One - Boehringer Ingelheim Canada: COPD Catalyst Grant Competition

Application Form

Please complete this form and upload your full application to apply to the Breathing as One - Boehringer Ingelheim Canada COPD Catalyst Grant.The competition guidelines and the application form can be found on the Canadian Lung Association website.

  • Application Deadline: November 1, 2018 by 4:30pm EST

Contact Information

Principal Investigator

*First Name:

*Last Name:

*Email Address:



Co-Principal Investigator (if applicable)

First Name:

Last Name:

Email Address:

Co-Applicants/Co-Investigators (if applicable)

List the Co-Applicant/Co-Investigators

Research Project


*Project Title

*Upload your full application

Upload your full application as 1 PDF file (this includes signatures, appendices, etc.) (file size: 10mb maximum).

Please note: larger files will take longer to upload. Your file has been successfully uploaded when it is listed below and the "select file" button is gone.

Having difficulty uploading your file? Check the file size. If it's over 10 mb then it's too large to be uploaded. Contact to make alternate arrangements through DropBox.

Once the application is uploaded please complete the process by clicking the "Submit" button at the bottom of the page. Once submitted a confirmation email will be sent to the Principal Investigator's email address that was provided. If a confirmation email is not received within 2  business days please contact

Powered by SimpleSurvey