.: NUNAVUT RESEARCH INSTITUTE :.

SCIENTIFIC RESEARCH LICENCE APPLICATION
HEALTH RELATED RESEARCH

NRI strongly recommends that applicants review the following documents prior to submitting an application: Scientific Research Licencing (Guidelines), Negotiating Research Relationships in Inuit Communities: A Guide for Researchers and the Canadian Institute of Health Research Guidelines.

Important
Please be advised that your application will not be processed until the application form, project summary project proposal, consent forms and ethics review are submitted.
All documents should be uploaded in the following formats: MS Word, Adobe PDF or jpeg.

SECTION 1: APPLICANT INFORMATION

1. Project Title

2. Applicant's full name and mailing address:

Phone:

Fax:

Email:

3. Field Supervisor's name and mailing address:

Phone:

Fax:

Email:

4. Other Personnel list (name, position, affiliation)

SECTION 2: AUTHORIZATION NEEDED

1. Indicate all authorizations associated with the project proposal:

     Nunavut Medical Research Permit - Government of Nunavut

     Ethics Review - by affiliated institution

2a. Have you applied for all authorizations required to conduct the project proposal activities?

Yes No

2b. If so, what is the status of the application?

3. If Ethical approval has been granted please attach documentation. If the proposed project is still under ethical review please e-mail the approval when granted to (Mosha Cote) Mosha.Cote@arcticcollege.ca

SCIENTIFIC RESEARCH LICENCE APPLICATIONHEALTH RELATED RESEARCH

SCIENTIFIC RESEARCH LICENCE APPLICATION
HEALTH RELATED RESEARCH