You must have Javascript enabled to use this form. 1 Start 2 Complete Are you a member of our cluster? * Yes No If you answered No to this question, use the following link to become a member and then continue your application. This award is for cluster members only. https://womenshealthresearch.ubc.ca/about-us/become-member First Name * Last Name * Status * Canadian Citizen/PR International Student Email * Trainee Level * Undergraduate Graduate PhD PDF Program/Fellowship Start Date (YYYY/MM/DD) * University * Supervisor Supervisor Email Ethnicity Arab African Carribean East Asian European First Nations/Indigenous LatinX South Asian Other Prefer Not to Answer Please select any/all that apply to you. Other If your ethnicity is not listed above, please specify. Do you identify as a Woman Non-binary Man Prefer not to say Other Briefly describe why you'd like to attend this conference * Supporting Documents * In one PDF document, please submit your academic CV preferably in a pre-doctoral or fellowship NIH-style Biosketch (max 4 pages) and an *optional* financial need statement. Biosketch format pages, instructions and examples: https://grants.nih.gov/grants/forms/biosketch.htm Financial need statement instructions: This statement, if you choose to submit it, should be 250 words max and briefly describe any financial hardship you may be experiencing. Financial hardship could be due to the COVID-19 pandemic as well as any other cause. Please indicate your current income including supervisor stipend, bursaries and student loans. Files must be less than 2 MB.Allowed file types: pdf. Questions may be directed to our Network Manager at womenshealth.res@ubc.ca Leave this field blank