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1. Name

2. Email Address

3. Phone Number

4. Publication Title

5. Journal

6. Role (Select one)

First Author
Senior Responsible Author

7. Name(s) of Co-Author(s), if any

8. Amount of Funding Requested
The DFCM Research Program will match up to a maximum of $1500 CAD.

Please note that a copy of your letter of acceptance from the journal must be submitted before final approval of funding is granted. You will be contacted for submission of this supporting documentation.

For more information, contact the DFCM Research Administrator
e: dfcm.research@utoronto.ca