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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.
Step 1: Please identify yourself
1.1 Provide your name and your connection to this project   (This person will receive all correspondance from the foundation, be responsible for informing the project team   and be responsible for the project completion report)
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   Non Members leave blank
1.5 This application is from:
a) An IEEE Student Branch	List of Canadian Universities and Colleges Carleton University Concordia University Dalhousie University Ecole Polytechnique de Montréal Laval University McGill University McMaster University Memorial University Queens University Royal Military College Ryerson Polytechnic University University of Alberta University of British Columbia University of Calgary University of Guelph University of Manitoba University of New Brunswick University of Ottawa Université du Québec à Trois-Rivières University of Regina University of Saskatchewan Université de Sherbrooke University of Toronto University of Victoria University of Waterloo A University of Waterloo B University of Western Ontario Algonquin College UBC Okanagan Connestoga College Niagara College Red River College Saint Clair College Seneca College
b) An IEEE Section	List of Canadian IEEE Sections Canadian Atlantic Hamilton Kingston Kitchener-Waterloo London Montreal New Brunswick Newfoundland & Labrador North Saskatchewan Northern Canada Ottawa Peterborough Quebec Saint Maurice South Saskatchewan Southern Alberta Toronto Vancouver Victoria Winnipeg
c) An IEEE Canada Committee           (please identify)
d) A non-IEEE entity
e) An Individual
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 make 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 format "xls,doc,pdf" - Max 200 KB)
Upload Your File Here
Step 3: Submit your Application
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