Ob-Gyn/Psychiatry Collaborative Grant Program

Before completing this form, please review the full Terms of Reference, available at uoft.me/obgyn-psychiatry-grant.

Title of research project
CO-PRINCIPAL INVESTIGATOR FROM OBSTETRICS AND GYNAECOLOGY

This application requires two Co-PIs, one of whom holds a primary full-time, part-time, or status-only appointment in the Department of Obstetrics and Gynaecology.

Please provide the following information regarding the Ob-Gyn Co-PI:
Co-PI name (Ob-Gyn) Co-PI name (Ob-Gyn) First Last
Co-PI rank (Ob-Gyn)

Co-PI rank (Ob-Gyn) Assistant Professor Associate Professor

(Full professors or lecturers may only serve as co-investigator; see below)
University-affiliated hospital or research institution
Co-PI email (Ob-Gyn)
CO-PRINCIPAL INVESTIGATOR FROM THE DEPARTMENT OF PSYCHIATRY

This application requires two Co-PIs, one of whom holds a primary full-time, part-time, or status-only appointment in the Department of Psychiatry.

Please provide the following information regarding the Psychiatry Co-PI:
Co-PI name (Psychiatry) Co-PI name (Psychiatry) First Last
Co-PI rank (Psychiatry)

Co-PI rank (Psychiatry) Assistant Professor Associate Professor

(Full professors or lecturers may only serve as co-investigator; see below)
University-affiliated hospital or research institution
Co-PI email (Psychiatry)
ADDITIONAL CO-INVESTIGATORS and COLLABORATORS
Check here if there are any co-investigators on this application.
Provide the name, email, institutional affiliation, and division for any co-investigators on this application. A five-year abbreviated CV must be uploaded below for all co-investigators.
Check here if there are any collaborators on this application.
Provide the name, email, institutional affiliation, and division for any collaborators on this application. A supporting letter must be uploaded below for all co-investigators.
Total budget amount requested
(Cannot exceed $100,000)
Lay abstract (suitable for posting)
Maximum of 250 words allowed. Currently Entered: 0 words.
FILE UPLOADS

Before uploading these files, please review the Terms of Reference for all requirements.

All files should be in PDF format.
Research proposal

Attach Files
References

Attach Files
Figures

Attach Files
Five-year abbreviated CVs for all Co-PIs, co-investigators, and collaborators
(multiple files can be attached)

Attach Files
Supporting letter for Ob-Gyn co-PI from one mentor at Associate Professor or Professor rank
(maximum one page)

Attach Files
Supporting letter for Psychiatry co-PI from one mentor at Associate Professor or Professor rank
(maximum one page)

Attach Files
Budget and justification

Attach Files
Supporting documentation (optional)
(multiple files can be attached)

Attach Files

Ob-Gyn/Psychiatry Collaborative Grant Program

Ob-Gyn/Psychiatry Collaborative Grant Program

CO-PRINCIPAL INVESTIGATOR FROM OBSTETRICS AND GYNAECOLOGY

CO-PRINCIPAL INVESTIGATOR FROM THE DEPARTMENT OF PSYCHIATRY

ADDITIONAL CO-INVESTIGATORS and COLLABORATORS

FILE UPLOADS