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SPOR Innovative Clinical Trials (iCT) Multi-Year Grant Partner Linkage Tool - Survey Questions
About:
This
Partner Linkage Tool
is intended to facilitate
connections between iCT Multi-Year Grant grantees and knowledge user communities (e.g. decision makers, providers, patients/families/caregivers/community members, and partners)
interested in joining the research project. This tool is an opportunity to signal your interests in type(s) of collaboration (e.g., skills sharing, engagement strategies). The information that you provide in this tool will be featured in our “Partnered Linkage Tool” (available
here
).
Who should complete the Partner Linkage Tool form?
This form should be completed by
researchers, decision makers, providers, patients/families/caregivers/community members, and partners
interested in expressing their interest to engage in the iCT Multi-Year Grant research and build connections to advance research in areas of shared interest.
Please note:
Completing this form is voluntary and
not
a requirement of the application process for the iCT Multi-Year Grant applications.
Potential applicants are
not
required to contact those who have chosen to make their information available through the linkage tool.
By completing and submitting this form, you are consenting to having the responses posted, unedited* and in the language of submission.
You may request to have your information edited or removed at any time by sending a request to SPOR-SRAP@cihr-irsc.gc.ca. Requests for edits or removal of information will be actioned in the next update cycle. If you have requested that your name and information be removed and then choose to be reinstated on the list, it is your responsibility to complete the form again.
Should you have any questions regarding this form or the tool, please email SPOR-SRAP@cihr-irsc.gc.ca.
*Language or responses deemed inappropriate by CIHR staff will be edited.
Full name
Email address
Name of community, institution, organization or other
Province or Territory
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
City of residence
(optional)
Phone number
(optional)
Website address
(optional)
Stakeholder Type Category
(select one):
Researcher (e.g., clinician-researcher, health services researcher, social science and humanities researcher)
Individual affiliated with Indigenous non-governmental organization/who self-identifies as Indigenous/provides evidence of having meaningful and culturally safe involvement with Indigenous communities
Patient/caregiver/person with lived and living experience/community representative
Health care provider
Decision and/or policy maker
Other: please specify
Other: please specify
Additional information about interest in engaging, skills/resources to contribute, intervention of focus, etc.
(optional)