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On-line Application for an IEEE Canadian Foundation Special Grant
Complete all sections of this form and submit electronically. Please read the information about special   grants available on this web site.    ** denotes optional fields for non IEEE Members
Step 1: Please identify yourself
1.1 Provide your name and your connection to   this project
1.2 Enter your e-mail address
1.3 Enter your address:                                  Street
City or Town
Province	Canadian Provinces Alberta British Columbia Manitoba New Brunswick Nova Scotia Newfoundland & Labrador North West Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal Code
1.4 Enter your IEEE membership number **
1.5 Enter your IEEE section **	Canadian IEEE Sections Canadian Atlantic Section Hamilton Section Kingston Section Kitchener-Waterloo Section London Section Montreal Section New Brunswick Section Newfoundland-Labrador Section North Saskatchewan Section Northern Canada Section Ottawa Section Peterborough Section Quebec Section Saint Maurice Section South Saskatchewan Section Southern Alberta Section Toronto Section Vancouver Section Victoria Section
1.6 If your project involves a Canadian   university or college, please select its   name from the list	Select your University or College None Acadia University Carleton University Concordia University Dalhousie University École Polytechnique Lakehead University Laval University McGill University McMaster University Memorial University Queen's University Royal Military College Ryerson Poly University Simon Fraser University University of Alberta University of British Columbia University of Calgary University of Guelph University of Manitoba University of New Brunswick University of Ontario Institiute of Technology University of Ottawa UQ à Chicoutimi UQ à Montréal UQ à ETS Montréal UQ à Trois-Rivières University of Regina University of Saskatchewan University de Sherbrooke University of Toronto University of Victoria University of Waterloo A University of Waterloo B University Western Ontario University of Windsor Algonquin College BC Institute of Technology Centennial College Conestoga College DeVry Calgary Niagara College Red River College Saint Clair College Seneca College
Step 2: Please describe your application in the following sections
2.1 Enter a descriptive title for this project
2.2 Choose your funding area	Technology for humanitarian causes Student Branch activities that excite highschool        students about electrical or electronics engineering or        computer science Student Branch entries into national or international        design competitions Student Branch activities that promote interaction with        industry - including SPAC's Other - Please elaborate below
2.3 For your chosen funding area, explain how your project best applies to your selected area of interest
Please no leading zeros when entering the numbers in 2.4 and 2.5
2.4 Enter the amount of the grant you are   seeking	$ .00
2.5 Enter the amount of the additional funding   you have already obtained	$ .00
2.6 Total funding (sum of 2.4 and 2.5)	$ .00
2.7 State the objective of the project
2.8 Provide a brief description of the project
2.9 Provide a detailed plan of activities including time lines and metrics
2.10 Provide a detailed financial plan showing all projected income and expenses including other sources   and amounts of funding
2.11 Provide a plan to measure the success of the project, and a commitment to provide a report to the IEEE   Canadian Foundation
2.12 Provide a full description of yourself and any co-applicants, indicating any IEEE association,   and reference(s) to any external support for your project
2.13 Provide a clear statement relating the project to the mission of the IEEE Canadian Foundation
2.14 Provide a full description of the sustainability of your project (one-time, semi-permanent, permanent,   extendible to other times/locations, etc.)
2.15 If a response to your application is requested before the next published meeting of the IEEE Canadian   Foundation Board, provide your preferred date and explanation. If not enter "NA"
2.16 If you have additional information in a file and not included in the sections above, you can attach this file.(Files must be in following formt "xls,doc,pdf" - Max 200 KB)
Upload Your File Here
Step 3: Submit your Application
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