Breathing as One: Allied Health Fellowship Competition

Registration

Please complete this form and upload your abstract to apply to the 2020 Breathing as One: Allied Health Fellowship Competition.The competition guidelines and the application form can be found on the Lung Association website.

This competition is for respiratory health professionals from a recognized clinically based discipline (e.g., registered nurse, nurse practitioner; physiotherapist; respiratory therapist; pharmacist; cardio-pulmonary technologist; polysomnographic technologist; kinesiologist; dietician; occupational therapist; social worker; or psychologist) (MDs are not eligible).

Timeline

  • Registration deadline: June 30, 2020 by 3:30pm EDT

Contact Information

Applicant

*First Name:

Please enter the first name of the Applicant

*Last Name:

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*Email Address:

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:

*Institution:

Please enter the name of the institution for the Applicant

Supervisor

*First Name:

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*Last Name:

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*Email Address:

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*Institution:

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Co-Supervisor (if applicable)

Last Name:

Please enter the last name of the Co-supervisor

First Name:

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Email Address:

Please enter the email address for the Co-supervisor

Institution:

Please enter the name of the institution for the co-supervisor

Reference # 1

*First Name:

Please enter the first name of the referee

*Last Name:

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*Institution:

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Reference # 2

*First Name:

Please enter the first name of the referee

*Last Name:

Please enter the last name of the co-supervisor

*Institution:

Please enter the name of the institution for the referee

Research Project

*Project Title

Please enter the title of your research project

*Keywords

Please enter up to 5 keywords that identify your research project

*Please choose the category that best describes your project

*Upload your abstract

Upload your one (1) page abstract as (one) 1 PDF or MS Word file (file size: 10mb maxium) saved using the following format: Award_Applicant's Last Name_Abstract (for example: AHFellowship_Kazoun_Abstract).

Please note: larger files will take longer to upload. Your file has been sucessfully 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 research@lung.ca to make alternate arrangements (e.g., DropBox).

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