George Brown College / The Helderleigh Foundation Partnership · George Brown College / The Helderleigh Foundation Partnership ... George Brown College / The Helderleigh Foundation

George Brown College The Helderleigh Foundation Partnership

Helderleigh Nutrition Application Fund

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Table of Contents

1 Background 2

2 Objectives of the Initiative2

3 Scope 3

31 Focus of Research 3

32 Eligibility 3

33 Duration of the HNAF and Funded Projects 3

34 Fund Restrictions 4

4 Operations 5

41 Application and Project Completion Timeline 5

42 Application Process Overview 5

43 Project Selection Process 5

44 Measures of Success and Reporting 6

5 Launch of the HNAF [HNAF Internal Use] 8

6 Overview of HNAF Governance Structure [External and HNAF Internal Use] 8

Exhibits 9

Exhibit 1 Helderleigh Nutrition Application Fund ndash Application Process [HNAF Internal Use an

altered version will be used for public communication on the website] 9

Exhibit 2 HNAF Task Force Membership [External and HNAF Internal Use] 14

Exhibit 3 Criteria for Eligibility [External and HNAF Internal Use] 16

Exhibit 4 George Brown College Research Exclusions [External and HNAF Internal Use] 18

Exhibit 5 Application Template [External Use] 19

Exhibit 6 Guidelines and Assessment Form for HNAF Task Force Reviewers of Applications [HNAF

Internal Use] 27

Exhibit 7 Memorandum of Understanding With Respect to Intellectual Property [External and

HNAF Internal Use] 35

Exhibit 8 Non-Disclosure Agreement [External and HNAF Internal Use] 38

Exhibit 9 Financial Administration [External and HNAF Internal Use] 40



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1 Background

This document outlines a new initiative developed in 2014-15 by The Helderleigh Foundation

(HF) and George Brown College (GBC or the College) ndash Centre for Hospitality amp Culinary Arts

(CHCA) to further their shared nutrition education applied research and culinary innovation

goals

This partnership enables collaborative research activities to be conducted by external not-for-

profit organizations (Applicants Lead Applicants Co-Applicants) to deliver measurable and

innovative food and nutrition improvement outcomes for specific target audiences Research

projects will be underwritten by a fund held in partnership between the HF and GBCrsquos CHCA As

its contribution the College has the research capability to create and test healthy and tasty

recipes provide theoretical nutritional analysis conduct consumer sensory evaluations develop

products do shelf life testing engage in scale-up and commercialization and provide custom

training Faculty and students will be involved to undertake the applied research The

Helderleigh Foundation has contributed $400000 to establish this nutrition and health-focused

applied research fund ndash the Helderleigh Nutrition Application Fund (HNAF) ndash over a four-year

period

These funds will be jointly awarded to external organizations that are qualified to undertake

nutrition and health-related applied research projects with the Collegersquos CHCA Food Innovation

amp Research Studio (FIRSt) Other relevant GBC research teams may also be involved from time

to time The Helderleigh Nutrition Application Fund Task Force will review and approve

applications and GBC will administer the HNAF

2 Objectives of the Initiative

The purpose of the HNAF is to advance applied nutrition and healthy eating in the Greater

Toronto Area (GTA) which may also benefit other parts of Canada

HFrsquos primary interest is to improve the diet physical health and wellness of Canadians

The HNAF leverages GBCrsquos culinary food and beverage programs as well as its Technology

Access Centre expertise and innovation experience to provide students faculty and staff

members with applied research opportunities that lead to community impact

Potential outputs may take the form of recipes menu development nutritional information

custom training and market research results These must be disseminated for easy public

access as meaningful resources



Page | 3

3 Scope

31 Focus of Research

The HNAF is intended to focus on advancing current food nutrition research in an innovative

way Funds will be awarded to projects that are able to stimulate targeted public interest

enhance specific health and nutrition dimensions for consumers as well as provide

opportunities for GBC faculty and student researchers to participate in the research work and

generate measurable results to advance nutrition Sectors of focus include local government

and their agencies universities and colleges schools and hospitals health- and wellness-

related agencies who treat or advise people on restricted diets and those living with cancer

brain or heart and stroke conditions as examples

Funded projects will be expected to clearly demonstrate how the proposed project outcomes will

enable the above mentioned objectives Projects will also be expected to engage in knowledge

dissemination such that outcomes or results are made available within the public domain for

others to utilize multiplying the impact of the project

32 Eligibility

Not-for-profit organizations charitable organizations the public sector and the broader public

sector (eg post-secondary educational institutions hospitals) are eligible to apply to the HNAF

as Lead Applicants (private sector participants are restricted to being Co-Applicants) Applicants

are expected to contribute a minimum of 25 of the project cost as matching funds (cash andor

in-kind) Higher levels of contribution will receive favorable consideration when funding

decisions are made Examples of ldquoin-kindrdquo include staff time spent on a project contributions of

research materials such as food ingredients or supply of equipment Applicants may also fund

part of their projects by drawing on complementary funding from other sources (other private or

public funds)

33 Duration of the HNAF and Funded Projects

The Helderleigh Nutrition Application Fund is a four-year initiative spanning from 201516 to

201819 Projects are to be completed within six months of the approval of the application (as

well as Research Ethics Board approval where applicable) A project completion report

including any dissemination of research results to that point will be submitted by the Lead

Applicant to the Helderleigh Nutrition Application Fund Task Force within 5 weeks of completion

of the project As knowledge dissemination is a major objective of this program a further

knowledge dissemination report will be expected from the Lead Applicant at the end of one

year following the completion of the project

Extension of project duration while discouraged may be requested with justification but without

any additional funding The request will be submitted to the Task Force whose decision will be

discretionary

Where possible projects will be conducted to coincide with student study terms



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34 Fund Restrictions

The work must be of a not-for-profit or charitable nature It must be conducted primarily for the

public benefit and not for self-interest private commercial consumption or profit generation This

is further detailed in Exhibit 3

See also research exclusions in Exhibit 4



Page | 5

4 Operations

The HNAF anticipates that between four and ten grants will be awarded on an annual basis

with two grants being awarded in 20152016 and then continuing until 201819 The anticipated

size of grants excluding applicant cash andor in-kind contributions is expected to be in the

range of $10000 - $20000 each Larger projects shall be considered on an exception basis

The size of each grant shall be determined by HNAF Task Force

Projects are to be conducted by GBC CHCA applied research resources (primarily FIRSt staff)

faculty and students in partnership with the Lead Applicant and any Co-Applicants

41 Application and Project Completion Timeline

The application process and project completion for funded projects will follow the timeline

illustrated below

42 Application Process Overview

The application approval and execution process for projects is depicted as a flowchart on page

7 Exhibit 1 provides further details of the overall process Note that in some cases Research

Ethics Board1 review and approval will be required for the project GBC policy on sensory

evaluation requires a form to be submitted to the REB which would document each study and

confirm that appropriate protocols are being followed With this documentation a full REB

review will usually not be necessary for this kind of study

43 Project Selection Process

Projects will be evaluated and award decisions made by the HNAF Task Force (membership

details in Exhibit 2) Exhibit 3 outlines the eligibility criteria for Lead Applicants and Co-

Applicants Exhibit 4 states the research exclusions Applicants will use a standard application

form (Exhibit 5) Exhibit 6 provides guidelines and the evaluation form for the HNAF Task Force

reviewers helping to ensure objective and transparent project evaluation and selection

Among other criteria applications will be expected to show a minimum 10 allocation of the

project budget (cash andor in-kind) to knowledge dissemination activities

1 The Research Ethics Board is operated by George Brown College Any studies involving human subjects animals environmental impact or posing other ethical considerations must be submitted to the REB for review

Call for Proposals

bull 6 Weeks Before

Application Deadline

[May 15 Sept 15 Jan 15]

Applications

Submitted

bullDeadline Two Months

Before Each Semester

Begins [July 1 Nov 1

March 1]

Applications

Approved

bullWithin One Week of

Each New Semester

Projects

Completed

bullDeadline Six Months

from Application

Approval Date (or REB

Approval Date if

applicable)

Project

Completion

Reports Filed

bullDeadline Five Weeks

After Project

Completion



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44 Measures of Success and Reporting

The Lead Applicant is required to provide a final Project Closing Report including a financial

report detailing expenditures and their cash andor in-kind contributions This is to be submitted

to the HNAF Task Force no more than 5 weeks after the end of the project Performance will be

assessed based on the degree to which the objectives of the original proposal have been

achieved Documentation of the short-term impacts to that point must be provided outlining the

tangible and intangible outcomes of the funded activities along with future leveraged activities

as a result of the project

An Interim Report at the project mid-point to be prepared by GBC CHCA FIRSt staff is to be

submitted to the HNAF Task Force

Connected to the knowledge dissemination objective a Knowledge Dissemination Activities and

Impact Report will be required of the Lead Applicant one year after project completion



Page | 7

1A HNAF Call for Proposals

[per published schedule]

+ Market awareness Referrals

1B Inquiry by interested Lead Applicant to HNAF

published contact(s)

1C Lead Applicant may work with GBC CHCA FIRSt staff to help prepare application

2 Lead Applicant finalizes and submits application to

HNAF


3 Applications are screened by GBC CHCA FIRSt staff

Eligible applications are forwarded to the HNAF Task Force for review and award

decisions

4A HNAF Task Force reviews forwarded applications and

makes award decisions supported by GBC CHCA

FIRSt staff

Application Approved

4B YES confirmation of approval to Lead Applicant by GBC CHCA FIRSt staff

4C NO communication to Lead Applicant by GBC CHCA FIRSt staff Opportunity to

revise and an option to resubmit

5A Submission to REB if applicable

REB Application Approved



revise and an optionto resubmit

6 Completion and signing of agreements for approved

application

7 Execution of project [duration max 6 months]

Submission of Interim Reportat project mid-point

[prepared by GBC CHCA FIRSt staff]

8 Submission of Project Closing Report to HNAF Task

Force by Lead Applicant

9 Submission of Knowledge Dissemination Activities and Impact Report to HNAF Task


[1 year from project completion]



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5 Launch of the HNAF [HNAF Internal Use]

Launch of the HNAF is planned for winter of 2016 to coincide with the opening of the fourth

floor CHCA research facilities at 215 King St East Launch planning will be the responsibility of

the CHCA FIRSt team Input from the HNAF Task Force will be incorporated into the launch and

ongoing marketing plans

6 Overview of HNAF Governance Structure [External and HNAF

Internal Use]


The Helderleigh Foundation

George Brown College


Task Force

Funded Project 1

[Lead Applicant Co-Applicant(s) GBC Researchers (students faculty staff) client groups]

Funded Project 2

[Lead Applicant Co--Applicant(s) GBC Researchers (students faculty staff) client groups]

Funded Project N




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Exhibits

Exhibit 1 Helderleigh Nutrition Application Fund ndash Application Process [HNAF

Internal Use an altered version will be used for public communication on the

website]

Purpose of this document The purpose of this document is to detail the protocol for the application and approval process

for the Helderleigh Nutrition Application Fund The steps are aligned with the flowchart on page

7 above and would follow the published schedule

Step Number and Name

Description Notes

1A HNAF Call for Proposals + Market awareness Referrals

A A Call for Proposals will be issued by HNAF three times per year following a published schedule

B GBC will launch and conduct a marketing and communications campaign to publicize the funding opportunity via the GBC website CHCA communications social media and print media to reach eligible charitable not-for-profit public sector and broader public sector organizations alumni and the public at large

- All communication channels will point to the GBC website for application information

- Website will also provide a set of published contacts with phone numbers and email addresses for inquiries

1B Inquiry by interested Lead Applicant to HNAF published contact(s)

A Inquiry received - Response and assistance provided by GBC CHCA FIRSt staff as appropriate


A Following the Call for Proposals and prior to submission of a finalized application the Lead Applicant may work with GBC CHCA FIRSt staff to prepare a budget project plan and other components of the application such that GBC applied research resources timing etc are appropriately incorporated into the application

- Accountability rests with the Applicant and Co-Applicant for completing the application with GBC playing a supportive role A GBC CHCA FIRSt staff will be assigned for general guidance in preparing the application as well as to provide input into a joint plan budget etc that accounts for all required resources to meet the intended objectives



Page | 10

- It is also an early opportunity to review any possible project issues risks constraints etc

2 Lead Applicant finalizes and submits application to HNAF

A The Lead Applicant will submit the application package including letter(s) of support and budget

B Lead Applicant to submit five (5) paper copies of the application package including one original signed copy plus one electronic copy to specified mailing and e-mail addresses by 500 pm of the published due date

C Upon receiving the application package the Lead Applicant will be sent a confirmation of receipt electronically from the GBC CHCA FIRSt staff (on behalf of the HNAF Task Force)

- The application template will be provided online (Exhibit 5)

- Research exclusions are stated in Exhibit 4

- The Lead Applicant needs to be informed that submission of the application package is not a guarantee of funding

- The Lead Applicant is responsible for providing all required information for the application package including the project plan resource allocation and budgetary calculations (including a minimum 10 allocation of cash andor in-kind toward knowledge dissemination activities)

- The proposal should include the following

o All applicant information including business titles education years of experience in pertinent fields and previous experience in applied research activities and projects CVs may be submitted as-is (no standard format to be required)

o Project Summary providing an overview of the purpose main objectives and expected outcomes of the project

o Project Description Rationale and Fit Methodology providing a level of detail that enables the reviewers to understand what the project is trying to achieve the plan to achieve the goals and why this work is important to help the HF and GBC achieve their



Page | 11

stated goals for the HNAF This is also an opportunity to showcase the Lead Applicantrsquos experience and capacity to successfully carry out the proposed project

o Benefits describing the benefits expected to be generated for various stakeholders

o Knowledge Dissemination Plan

o Detailed project plan with work plan deliverables and timelines risk assessment and knowledge dissemination plan

o Detailed budget including cash andor in-kind contributions from Lead Applicant and any Co-Applicant(s)

o State need for Research Ethics Board approval

o A letter from the head of the Lead Applicant organization including confirmation that the Lead Applicant is fully capable of completing the project within six months that it is in good standing and current with all applicable Canada Revenue Agency filings and that it commits to knowledge dissemination activity and impact reporting one year after the completion of the project

o At least 2 letters of support from external organizations such as end client groups who would be beneficiaries of a successful project

- All paper copies must be sent unbound and printed double-sided



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All pages must be letter size with 12-point text

- Any applications received after the deadline will not be considered until the next round of reviews

- Electronic submissions will be directed either to FIRStgeorgebrownca or another appropriate e-mail address

- Mailed copies will be time-stamped upon receipt

3 Applications are screened by GBC CHCA FIRSt staff Eligible applications are forwarded to the HNAF Task Force for review and award decisions

A Applications will be screened for eligibility for completeness of the application package as well as against mandatory criteria and research exclusions

B Eligible applications will be forwarded to the HNAF Task Force for review and award decisions based on the full published evaluation criteria

- Those applications found ineligible may be revised and resubmitted to a future Call for Proposals Lead Applicant to be advised accordingly

4A 4B 4C HNAF Task Force reviews forwarded applications and makes award decisions supported by GBC CHCA FIRSt staff

A The HNAF Task Force will meet at a time which fits into the published schedule to review eligible applications and make award decisions based on the full published evaluation criteria supported by GBC CHCA FIRSt staff

B [Steps 4B and 4C] Lead Applicant informed of successful application (or communication otherwise) by GBC CHCA FIRSt staff on behalf of the HNAF Task Force

C Official announcement of successful applications (subject to REB approval if applicable for certain projects ndash see 5A 5B 5C)

- An evaluation tool will be provided to HNAF Task Force reviewers by GBC CHCA FIRSt staff to assist them in the selection process

- Selection of successful applications will be based on the document ndash Guidelines for Reviewer of HNAF Applications (see Exhibit 6)

- CHCA Dean or authorized designate to make all official announcements Within the announcement recognition will be given to the George Brown College The Helderleigh Foundation Partnership

5A 5B 5C Submission to REB if applicable

A Should a Research Ethics Board (REB) review be required for the project an appropriate

- GBC CHCA FIRSt staff to assist in the preparation of the REB application as needed



Page | 13

application must be prepared and forwarded to the REB

B [Steps 5B and 5C] Lead Applicant informed of successful REB application (or communication otherwise)

C Official announcement of successful applications following REB approval

- Project clock starts upon approval by the REB

- If rejected opportunity to revise and resubmit the REB application published schedule permitting and as appropriate

6 Completion and signing of agreements for approved application

A Prior to commencement of the project Lead Applicant to sign a Memorandum of Understanding (MOU) with GBC Helderleigh Foundation Partnership + any other applicable agreements

B Commencement of Project

- See Memorandum of Understanding (draft in Exhibit 7)

7 Execution of project + Submission of Interim Report at project mid-point

A Execution of project

B Submission of Interim Report at project mid-point [prepared by GBC CHCA FIRSt staff]

- Dispersal of HNAF funds based on submission of appropriate budget documents

- Maximum duration of projects 6 months (project clock starts upon REB approval if applicable)

- Short mid-project report intended for monitoring of project progress and to catch any project issues or risks before they affect successful project completion

- Reporting format to be provided

8 Submission of Project Closing Report to HNAF Task Force by Lead Applicant

A Reporting of results and outcomes to HNAF Task Force

B Project close-out accounting for funds and dissemination of results


9 Submission of Knowledge Dissemination Activities and Impact Report to HNAF Task Force by Lead Applicant

A Submission of Knowledge Dissemination Activities and Impact Report to HNAF Task Force by Lead Applicant 1 year from project completion

- This step helps ensure that knowledge dissemination is pursued and a reasonable amount of time is allowed for impact to become evident

- It is based on a minimum 10 cash andor in-kind project budget



Page | 14

allocation for knowledge dissemination activities


Exhibit 2 HNAF Task Force Membership [External and HNAF Internal Use]

Member Title Alternate Alternate Title

Llewellyn Smith

Director President The Helderleigh Foundation

Susan Smith Director VP The Helderleigh Foundation

Lorraine Trotter Dean Centre for Hospitality amp Culinary Arts George Brown College

Christine Walker Chair Chef School George Brown College

John Higgins Director Corporate Chef Centre for Hospitality amp Culinary Arts George Brown College

Dawn Davidson Director Research and Innovation George Brown College

Robert Luke Vice President Research and Innovation George Brown College

David Yeung

Board Member The Helderleigh Foundation


Vince Morrison Board Member The Helderleigh Foundation


GBC - TBD

Non-voting guests to be invited as advantageous to projects or process



Page | 15



Page | 16

Exhibit 3 Criteria for Eligibility [External and HNAF Internal Use]

Organizations eligible to apply to the HNAF

Not-for-profit

Charitable

Broader public sector

Public sector

Governance Requirements for Organizations

Financially sustainable with the capacity to undertake the project and mobilize the outcome

Be in good standing with no material legal actions outstanding and up to date in all corporate filings

Have the support from the Executive Director or equivalent of the Lead Applicant organization and each Co-Applicant organization or end-client organization where applicable participating in the execution of the project

Co-Applicants that can develop or expand innovative applied nutrition programs within the Greater Toronto Area (GTA) which may also benefit other parts of Canada and that result in positive measureable outcomes within a five-year period

Terms

Lead Applicants are defined as established not-for-profit or charitable or public sector or broader public sector organizations that meet the eligibility criteria

Co-Applicants are defined as established not-for-profit or charitable or public sector or broader public sector organizations that meet the eligibility criteria Co-Applicants may also be from the private sector

Innovative is the act of changing the way of doing things new methods bringing something new to the market of lasting benefit

Applied is the actual practice or the working out of practical problems and challenges

Nutrition is primarily the act of nourishing rather than the study of science It excludes food security projects

Program is a plan or procedure ( dealing with nutrition)

Positive Measureable Outcomes are good comparative quantified results or consequences from interventions undertaken



Page | 17

Applicants must provide a minimum 25 cash andor in-kind contribution of the project cost as matching funds

Examples of ldquoin-kindrdquo may include staff time spent on a project contributions of research materials such as food ingredients or equipment use or donations contributions toward the execution of a project and knowledge transfer All in-kind time must be properly tracked for the duration of the project

Student Engagement

Projects that provide a higher level of student engagement will receive favorable consideration

This can be expressed by the number of students andor the number of student hours andor the depth of engagement

Applicants may also fund part of their projects by drawing on complementary funding from other sources

Private or public funds are permitted

Project grants shall be used solely for charitable or not-for-profit purposes Research activities must2

a Represent a way to achieve or further the charitable purpose of the HF

b Be based on a research subject that has educational value and a research proposal that is capable of being attained through research

c Be undertaken in such a way that it might reasonably lead to a discovery or improvement of knowledge

d Be conducted primarily for the public benefit and not for self-interest or private commercial consumption

e Be disseminated and made publicly available to others who might want access to the information and

f Be undertaken in a structured manner in a systematic way have educational value and not be selective unreasonably biased or promote a predetermined point of view

2 Excerpted from HFGBC Gift Agreement



Page | 18

Exhibit 4 George Brown College Research Exclusions [External and HNAF Internal

Use]

Health Based Research Activities CHCA FIRSt is unable to execute on its

own

Guideline for exclusion when deciding on project intake

1 Clinical trials that involve human subjects where participants receive specific

interventions according to research protocol involving medical products such as drugs

or devices vitamins minerals or other dietary supplements procedures or changes to

participantsrsquo behavior such as diet Clinical trials may compare a new medical approach

to a standard one that is already available to a placebo that contains no active

ingredients or to no intervention When a new product or approach is being studied it is

not usually known whether it will be helpful harmful or no different than available

alternatives (including no intervention) The investigators try to determine the safety and

efficacy of the intervention by measuring certain outcomes in the participants For

example investigators may give a drug or treatment to participants who have high blood

pressure to see whether their blood pressure decreases

2 Observational Studies where investigators assess health outcomes in groups of

participants according to a research plan or protocol Participants may receive

interventions (which can include medical products such as drugs or devices) or

procedures as part of their routine medical care but participants are not assigned to

specific interventions by the investigator (as in a clinical trial) For example investigators

may observe a group of older adults to learn more about the effects of different lifestyles

on cardiac health

3 Toxicology Studies of food ingredients or other nutrients such as vitamins or minerals

4 Substantiation of health claim of ingredients dietary supplements or implied health

benefits from consuming such ingredient or food products containing the ingredients

using human subjects

5 Health related consumer food product studies involving infants and or pregnant women

6 Food and nutrition research at biochemical and or molecular level

7 Projects involving food security community kitchens and the relief of poverty



Page | 19

Exhibit 5 Application Template [External Use]

HELDERLEIGH NUTRITION APPLICATION FUND (HNAF)

APPLICATION ndash TEMPLATE

All fields must be completed Please note and adhere to word limits

Project Title (This is the official title of the project it should be as descriptive as possible to reflect the nature of the project)

Date

Applicant Organization

(This is the external organization that will partner with GBC FIRSt andor other GBC applied research unit to conduct the work)

Name

Address

Website

Contact amp Title (This should be the Lead Applicant)

Email

Telephone Ext

Name(s) of Co-Applicant(s)

Organizations eligible to apply as Lead Applicant (please check as applicable)

Not-for-profit

Charitable


Public sector

Lead Applicant Organization Description

(This should include a short introduction to the organization and its mandate maximum 100 words)



Page | 20

Project Summary (Maximum 700 words in plain language)

A Provide a summary of the motivation for undertaking the project How will the project deliverables be leveraged to improve the nutrition diet physical health and wellness of Canadians

B Provide a concise description of the scientific or technical objectives of this project What will be the project deliverables What is original or unique about this work related to current scientific health and nutrition developments

C Provide a concise description of the project methodology

D Provide a concise explanation of the proposed involvement of GBC researchers to this project What deliverables will be the responsibility of the GBC researchers

E If Co-Applicant(s) are involved in the project provide an explanation of their involvement and contribution

E Provide information on the targeted end clients and the needs being served

F Provide a concise explanation of the knowledge dissemination and impacts strategy

Immediate andor near-term outcomes and benefits

(Maximum 100 words in plain language)

Provide a synopsis of the expected immediate andor near-term outcomes and benefits to end clients in the GTA (and Canada) from this project

Long-term outcomes and benefits


Provide a synopsis of the anticipated long-term and additional economic social andor environmental outcomes and benefits from this project

Note A Knowledge Dissemination and Impacts Report will be expected one year after project completion to help capture these longer-term outcomes and benefits



Page | 21

Project Costs

Preference will be given to projects that demonstrate strong collaborative ties by for example committing cash to the project committing significant in-kind contributions being involved in the work plan having a significant impact on students (mentoring etc) All in-kind contributions will need to be documented Also please fill in the separate budget spreadsheet and include in the application package

Total Project Cost

(cash + in-kind)

Cash from Lead Applicant

Proposed cash requested from HNAF

Cash from Co-Applicant(s) ndash Not-for-profit or charitable or public sector or broader public sector

Cash from Co-Applicant(s) ndash Private Sector

In-Kind from Lead Applicant

In-Kind from GBC

In-Kind from Co-Applicant(s) ndash Not-for-profit or charitable or public sector or broader public sector

In-Kind from Co-Applicant(s) ndash Private sector

Project Area(s) of Focus

(please check all that apply)

1 Recipe Development

2 Menu Development

3 Nutritional Information

4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22

Project Description Rationale and Fit Methodology (900 words maximum)

Provide a level of detail elaborating on the summary section above that enables the reviewers to understand what the project is trying to achieve the plan to achieve the goals and why this work is important to help the HNAF achieve its goals This is also an opportunity to showcase your experience and capacity to successfully carry out the proposed project Note Use the following headings

Project Goals and Relevance

Rationale and Fit with HNAF goals

General Work Plan and Research Methodology

Project Co-Applicants and Collaboration Involved

Anticipated Outcomes and Benefits (ImmediateShort-TermLong-Term)

Capacity to Implement Outcomes or Findings

Benefits (300 words maximum)

Describe specifically how the project will benefit

Targeted client groups

George Brown College students


Other stakeholders

Knowledge Dissemination (300 words maximum)

Describe specifically how the project will disseminate the knowledge gained from the project beyond the immediately targeted client group What actions will be pursued to extend and maximize impact for public benefit

Note A Knowledge Dissemination and Impacts Report will be expected one year after project completion to help capture longer-term outcomes and benefits



Page | 23

Key Personnel

(Please list and describe up to four key personnel involved with the proposal from either the Lead Applicant organization or George Brown College)

Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)

Proposed Project Schedule

Start date

End date

Work Plan Deliverables Timelines

Please provide a detailed work-plan including dates activities personnel required and deliverables andor end results

Due Date or Date Range

Activity Personnel DeliverableOutcome

eg June 1 ndash 20 2016

Develop 15 written recipe concepts for selection

Principal Investigator (PI) student researcher

Select 10 concepts for further development

Budget

Complete the attached budget spreadsheet You will be required to report against your budget in regular status reports Eligible expenditures include salaries (students full-time faculty release time or part-time faculty applicant personnel) travel phone contract services materials participant honoraria etc

Other Funding

Have you applied for or received any other funding for this project Please describe

Lead Applicant Letter of Support

A letter of support from the Lead Applicant signed by the Executive Director (or equivalent) must accompany your application a confirming commitment to the project and its goals b stating the expected benefits to the organization c confirming commitment of the stated resources (cash andor in-kind amounts personnel) d confirming that the Lead Applicant is capable of finishing the project within six months e declaring that the organization is in good standing and current with all applicable CRA filings and f declaring that there are no conflicts of interest

Additional Letter(s) of Support

Letters of support are also required from each Co-Applicant organization as well as any organizations representing targeted client groups for this project For the former a letter of support a confirming commitment to the project and its goals b stating the expected benefits to the organization and c confirming commitment of the stated resources (cash andor in-kind amounts personnel)



Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name

Add more co-researchers if required

Co-APPLICANTS

Preference will be given to projects that demonstrate strong collaborative ties by for example committing cash to the project committing significant in-kind contributions being involved in the work plan having a significant impact on students (mentoring etc) All cash andor in-kind contributions will need to be documented A letter of support from each collaborating Co-Applicant must accompany your application

Name

Title

Organization

Phone and email

Add more Co-Applicants if required

INFORMATION ON THE RESEARCHER(S)

Describe the expertise experience and resources that the researcher has to help undertake and complete the project Include where possible a description of research projects previously undertaken or previous research experience Be brief

Name Previous experience in similar research projects other relevant expertise resources Include a CV for each researcher

eg John Smith John Smith has worked on the following research projects in the past 5 years

1 2014 Recipe development for gluten free diet in collaboration with the Canadian Celiac Association

2 2012 Vitamin D fortification in pizza dough in collaboration with the University of Toronto and Mount Sinai Hospital

Add more researchers if necessary



Page | 25

RESEARCH ETHICS

Does this project require Research Ethics Board review If yes application must be made within 30 days of notification of award For more information see wwwgeorgebrowncaresearchethicsaspx

___ Yes Date of submission ____________________

___ No

Please note that on average the GBC Research Ethics Board (REB) takes 26 business days to approve an expedited application which should be taken into consideration when planning your project

SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26

CHECKLIST prior to submission

All sections of application form completed (and word limits adhered to)

Budget spreadsheet completed and included

A minimum 25 of the project cost is being contributed in cash andor in-kind as matching funding from the Lead Applicant and any Co-Applicants

A minimum 10 of the project cost is being allocated to knowledge dissemination activities

Lead Applicant Organization Letter of Support attached

If applicable Co-Applicant Organization Letter(s) of Support attached

If applicable other Letter(s) of Support attached (eg from targeted client groups which may receive benefits from the project)

CVs of researchers attached

Paper and electronic copies of application package submitted as specified (application form budget spreadsheet letter(s) of support)



Page | 27

Exhibit 6

Guidelines and Assessment Form for HNAF Task Force Reviewers of Applications

[HNAF Internal Use]

Guidelines and Assessment Form

Please read the following information before proceeding

1 The Conflict of Interest Guidelines

2 The Instructions to Reviewers

Please note that all personal information collected related to Applicant and co-Applicant organizations and researchers as well as college employees community members and others is used only for the purposes of reviewing applications and administering and monitoring awards Reviewers must also comply with the George Brown College Policy regarding the use and disclosure of personal information The organizations that manage the funding (GBC and Helderleigh Foundation) share information among themselves as required to manage the HNAF

1) Conflict of Interest Guidelines

To avoid any conflict of interest as a reviewer you should not

Be the Lead Applicant or Co-Applicant of the project

Have been a supervisor or an employee of the Applicant(s) within the past six year(s)

Have collaborated with the Applicant(s) within the past three years or have plans to collaborate in the immediate future

Be in any other potential conflict of interest (eg personal financial)

2) Instructions to Reviewers

Program Objective

The objective of The Helderleigh Nutrition Application Fund is to advance applied nutrition and healthy eating in the Greater Toronto Area (GTA) which may also benefit other parts of Canada HFrsquos primary interest is to improve the diet physical health and wellness of Canadians The HNAF leverages George Brown Collegersquos culinary food and beverage programs services and experiences providing students and faculty with an applied research opportunity that leads to community impact



Page | 28

Potential outputs may take the form of recipes menu development nutritional information custom training and market research

Fill in an assessment form for each application you review These forms are intended to ensure a transparent and objective review process The forms will be the basis of a discussion for the respective proposed project Based on these discussions the Helderleigh Nutrition Application Fund Task Force will make decisions about which projects to fund These assessments wonrsquot be shared with applicants but some of the feedback may be provided to them This will reinforce our goals to successful applicants and help unsuccessful applicants revise their applications for the next competition Use the following criteria word ladders to assess each application Select the statement (A B C or D) which best applies to the proposed project Include comments to support your assessment

Applicant Details

Lead Applicant Organization ______________________________

Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29

1 Does the Lead Applicant meet the eligibility criterion of being a Not-For-Profit Organization Charitable Organization Broader Public Sector Organization or Public Sector Organization

Yes Feedback Comments Questions

No

2 Have the Lead Applicant and co-Applicant(s) committed the minimum level of

matching in-kind andor cash contribution (25 of the project cost) to the project


No

3 Have the Lead Applicant and co-Applicant(s) allocated the minimum level of 10 of

the project budget (in-kind andor cash) toward knowledge dissemination activities


No

4 Has the Lead Applicant provided an adequate Letter of Support from the

organizationrsquos Executive Director (or equivalent) a confirming commitment to the project and its goals b stating the expected benefits to the organization c confirming commitment of the stated resources (cash andor in-kind amounts personnel) d confirming that the Lead Applicant is capable of finishing the project within six months e declaring that the organization is in good standing and current with all applicable CRA filings and f declaring that there are no conflicts of interest


No

5 Have Letters of Support been provided for any Co-Applicant(s) and from any

organizations representing targeted client groups


No

6 Have researcher CVs been included in the application package


No

7 Has the budget spreadsheet been included in the application package


No



Page | 30

8 Does the application adhere to the research exclusions


No

9 Alignment and relevance of the proposed project to Helderleigh Nutrition Application

Fund core objective to improve the diet physical health and wellness of Canadians A Is poorly aligned and has little or no relevance to the Helderleigh Nutrition Application

Fund core objective

B Is somewhat aligned but has not presented clear challengesproblems that are of relevance to the Helderleigh Nutrition Application Fund core objective

C Is well aligned and has well articulated clear challengesproblems and viable solutions that are relevant to the Helderleigh Nutrition Application Fund

D hellipAND could result in substantial impacts

A Feedback Comments Questions

B

C

D

10 Proposed research is original and innovative A Proposed research activities are not originaldo not address improvement of the diet

physical health and wellness of Canadians in any sort of innovative way

B Proposed research represents a modest improvement over existing approaches or somewhat addresses improvement of the diet physical health and wellness of Canadians in an innovative way

C Proposed research represents a significant improvement over existing approaches and meaningfully addresses improvement of the diet physical health and wellness of Canadians in an innovative way

D hellipAND where such proposed research activities could stimulate a significant national shift in research approaches in the fields of diet physical health and wellness research


B

C

D



Page | 31

11 Involvement of GBC Researchers (faculty staff and students) A Minimal opportunities for direct involvement of GBC Researchers (faculty staff and

students) within the proposed project

B Opportunities for some direct involvement within the proposed project for GBC Researchers (faculty staff and students) and some opportunity for them to transfer knowledge to the Applicant and vice versa

C Opportunities for significant direct involvement of GBC Researchers (faculty staff and students) where the GBC researchers will work with directly and learn from the Applicant and are likely to transfer useful skills and knowledge to the Applicant

D hellipAND where such involvement includes meaningful experience working closely with the Applicant at their premises in the business aspects of the proposed project


B

C

D

12 Knowledge Dissemination StrategyPlan A Has not presented a knowledge dissemination strategy or plan that is likely to support

the success of achieving intermediatenear-term outcomes and benefits or long-term-outcomes and benefits

B Has presented some knowledge dissemination concepts that may result in some modest success of achieving intermediatenear-term outcomes and benefits or long-term-outcomes and benefits

C Has presented a credible knowledge dissemination strategy that is likely to result in success of achieving intermediatenear-term outcomes and benefits and long-term-outcomes and benefits

D Has presented a highly credible knowledge dissemination strategy and concrete plan that are highly likely to result in success of achieving intermediatenear-term outcomes and benefits and long-term-outcomes and benefits AND there are no gaps in plan


B

C

D



Page | 32

13 Immediate andor near-term impact of the project and the dissemination strategy on diet physical health and wellness of Canadians

A Is not impactful

B Has a recognizable but modest impact on a small group of Canadians

C Has a significant impactful on a small group of Canadians

D Is a major and transformative impact on a small group of Canadians ANDOR a significant impact on many groups of Canadians


B

C

D

14 Long-term impact of the project and the dissemination strategy on diet physical

health and wellness of Canadians A Is not impactful





B

C

D



Page | 33

15 Work Plan Deliverables Timelines - Quality A Are incomplete or poorly prepared and is highly unlikely to support successful

completion of the proposed project

B Are largely complete but have a number of deficiencies which if not corrected could inhibit the successful completion of the proposed project

C Are complete comprehensive and realistic with only minor deficiencies which should support the successful completion of the proposed project

D Is excellent in all respects and has flexibility and work-around capacity such that it is highly likely to support successful completion of the proposed project


B

C

D

16 Adequacy of Resources and Budget A Resources and budget are unlikely to support successful completion of the proposed

project

B Resources and budget are likely to meet most of the challenges of the proposed project but one or two significant weaknesses must be addressed to ensure successful completion of the project

C resources and budget are likely to meet the challenges of the proposed project as the Applicant has either a) demonstrated a good track record in successfully completing projects of this scope and complexity or b) demonstrated a sound understanding of how to complete the project Also the Applicant has substantiated access to the required resources

D Resources and budget are highly likely to support successful completion of the proposed project as the Applicant having a) demonstrated an excellent track record in successfully completing projects of this scope and complexity b) demonstrated a sound understanding of how to complete the project AND have demonstrated success in assisting co-applicantspartnerscollaborators to achieve project impacts through effective knowledge dissemination All of the required resources have been committed to the Project


B

C

D



Page | 34

Other feedback comments questions

17 Recommendation to fund proposed project


No

18 If YES amount of project funding from the HNAF to be allocated to this project

$



Page | 35

Exhibit 7 Memorandum of Understanding With Respect to Intellectual Property

[External and HNAF Internal Use]

MEMORANDUM OF UNDERSTANDING

WITH RESPECT TO

INTELLECTUAL PROPERTY

George Brown College (Canada)

(the ldquoCollegerdquo)

and

_______________

(the ldquoApplicantrdquo)

In consideration of the mutual promises and covenants made herein the Parties here by agree to the

following

1) Background Through the Helderleigh Nutrition Application Fund (HNAF) it is the goal of the

College through the Office of Research and Innovation to bring faculty and students together with

Applicants to conduct applied research development and innovation activities (the ldquoProjectrdquo) which

will help Applicants to make progress to improve the diet physical health and wellness of Canadians

and provide practical educational opportunities to College Faculty Staff and Students

2) Purpose This Memorandum of Understanding (ldquoMOUrdquo) describes a general arrangement for the

management of intellectual property arising out of the Project between College and Applicant The

Project is described in the Applicantrsquos Project Plan and set out in the attached Exhibit I

3) Intellectual Property (ldquoIPrdquo) is any form of knowledge or expression created by ones intellect that can

be legally protected including technical information know-how inventions models drawings

photographs specifications prototypes computer software curriculum and teaching materials and

other creations that can be protected under patent copyright trademark and industrial design laws

4) Principles

a) The parties agree that the Applicant will own all right and title to and interest in any Intellectual

Property conceived developed or reduced to practice or otherwise made by College as a result of

the Project with Applicant (ldquoForward IPrdquo) and the parties agrees that decisions regarding the

protection and use of Forward IP need to be made with charitable purpose and its associated public

benefit as the primary consideration Furthermore the parties agree that Forward IP will be made

publically available to others

b) Neither Party makes any express warranties and disclaims any implied warranties as to performance

or results of the Project merchantability or fitness of results for a particular purpose or that the use

of Forward IP will not infringe any proprietary rights of a third party



Page | 36

c) Any equipment or materials purchased by College as part of the Project will remain the property

of College except for all versions of the prototypes developed that will become the property of the

Applicant at the conclusion of the Project

5) Roles and Responsibilities

a) College agrees to

i) Meet with Applicant to discuss the feasibility of the Project and the capacity of College to

conduct the Project

ii) Administer the Project through the Office of Research and Innovation

iii) Agrees to provide a principal investigator with appropriate subject matter expertise to

supervise the Project

iv) Establish a College faculty staff and student team to conduct the Project

v) Obtain appropriate non-disclosure and IP protection in favour of Applicant from all students

staff and faculty participating in the Project including waivers of moral rights

vi) Make best efforts to conduct the Project within the agreed timeframe and budget

vii) Promote the research and development activities as mutually agreed

viii) Create and disseminate a mid-Project progress report to the Applicant and to the HNAF Task

Force

b) Applicant agrees to

i) Engage actively in the Project including by supporting the Project operationally or otherwise

andor by providing assistance to College in seeking additionalalternate funding

ii) Enable College students to participate with College faculty in the Project

iii) Subject to ensuring no such disclosure would compromise any strategic benefit or otherwise

breach any confidentiality obligations of the College to Applicant allow College faculty and

students to reasonably disseminate the results of the project including in success stories

publications presentations and academic or professional references Applicant has the right

to vet all proposed publicity and to determine the timing of the any publicity

iv) Support the College in reporting cash and in-kind contributions through providing required

documentation

v) Disseminate the results of the project in accordance with the dissemination strategy detailed

in the Project Plan and submit the Knowledge Dissemination Activities and Impact Report

one year after project completion

vi) Participate in a short annual College survey and a post-Project report related to the success

of the dissemination strategy and successful impacts of Project outcomes

6) Contacts

For George Brown College For Applicant

Andrew Fraser

Acting Director Food and Beverage Research

CHCA

Office of Research and Innovation

416-415-5000 ext 6507

Fax

afrasergeorgebrownca



Page | 37

7) Governing Law Other This MOU represents a binding agreement of the parties which shall be

governed by and interpreted in accordance with the laws of the Province of Ontario This MOU may

be executed in counterparts

8) Signatures


Robert Luke

Vice-President

Research and Innovation

416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date

Attachment Exhibit I ndash Applicant Project Plan



Page | 38

Exhibit 8 Non-Disclosure Agreement [External and HNAF Internal Use]

NON-DISCLOSURE AGREEMENT

THIS AGREEMENT made this ______ day of ______ 20_____ BETWEEN

__________________________[INSERT FULL LEGAL NAME AND ADDRESS OF APPLICANT] (the

Applicant) and GEORGE BROWN COLLEGE OF APPLIED ARTS AND TECHNOLOGY (ldquoGBC)

WHEREAS GBC and the Applicant are in discussions respecting a possible collaborative project

(the ldquoProjectrdquo)

NOW THEREFORE in consideration of the covenants and agreements herein contained the

adequacy of which is hereby acknowledged the parties agree each with the other as follows

1 Confidential Information Each of the Applicant and GBC acknowledge that the other party (the

ldquoDisclosing Partyrdquo) may disclose information of a secret proprietary or confidential information which is

not generally known to the public This information includes but is not limited to confidential and

proprietary information relating in any way to the Disclosing Partyrsquos operations properties prospects and

financial condition All such information of any nature and in whatever form is referred to in this

Agreement as Confidential Information Confidential Information does not include information which is

generally made available by the Disclosing Party to third parties without restrictions as to its use or

disclosure

2 Non-Disclosure The party receiving Confidential Information (the ldquoReceiving Partyrdquo) agrees

that it will not disclose to any third party any Confidential Information obtained hereunder except as is

authorized or directed by the Disclosing Party The Receiving Party also agrees not to use or to permit

others to use any Confidential Information or to make copies of any documents records or materials

(collectively the Records) containing any Confidential Information except as may be authorized by the

Disclosing Party

3 Ownership The Receiving Party acknowledges that all intellectual property rights including

copyright in the Confidential Information and that all Records including all copies containing any

Confidential Information belong exclusively to the Disclosing Party Upon the termination or completion

of the Project or at any time at the request of the Disclosing Party the Receiving Party will deliver all

Records to the Disclosing Party The Receiving Party agrees to comply with all security measures and to

follow all instructions provided by the Disclosing Party in order to safeguard and protect any Confidential

Information

4 Unauthorized Disclosure The Receiving Party will advise the Disclosing Party of any unauthorized

disclosure or use of any Confidential Information of which it becomes aware at any time

5 Exclusions The provisions of this Article 2 do not apply to any information which becomes known

to the Receiving Party from a third party who is under no obligation of confidentiality to the Disclosing

Party These provisions shall also not prevent Receiving Party from making any disclosure of Confidential

Information which heshe is required to make under any law

6 Survival The parties agree that notwithstanding the termination or completion of the Project the

obligations of the Receiving Party set forth hereunder shall continue in full force and effect until terminated



Page | 39

by an agreement of the parties evidenced by an instrument in writing

7 Governing Law This Agreement shall be governed by and construed in accordance with the laws

of the Province of Ontario and the laws of Canada applicable therein

8 Enurement This Agreement shall enure to the benefit of and be binding upon the heirs executors

administrators successors and assigns of the respective parties hereto

9 Headings The insertion of headings herein and the division of this Agreement into sections are for

convenience of reference only and shall not affect the interpretation hereof

Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40

Exhibit 9 Financial Administration [External and HNAF Internal Use]

Timeline of Disbursement of Funds

201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 2

1 Background

This document outlines a new initiative developed in 2014-15 by The Helderleigh Foundation

(HF) and George Brown College (GBC or the College) ndash Centre for Hospitality amp Culinary Arts

(CHCA) to further their shared nutrition education applied research and culinary innovation

goals

This partnership enables collaborative research activities to be conducted by external not-for-

profit organizations (Applicants Lead Applicants Co-Applicants) to deliver measurable and

innovative food and nutrition improvement outcomes for specific target audiences Research

projects will be underwritten by a fund held in partnership between the HF and GBCrsquos CHCA As

its contribution the College has the research capability to create and test healthy and tasty

recipes provide theoretical nutritional analysis conduct consumer sensory evaluations develop

products do shelf life testing engage in scale-up and commercialization and provide custom

training Faculty and students will be involved to undertake the applied research The

Helderleigh Foundation has contributed $400000 to establish this nutrition and health-focused

applied research fund ndash the Helderleigh Nutrition Application Fund (HNAF) ndash over a four-year

period

These funds will be jointly awarded to external organizations that are qualified to undertake

nutrition and health-related applied research projects with the Collegersquos CHCA Food Innovation

amp Research Studio (FIRSt) Other relevant GBC research teams may also be involved from time

to time The Helderleigh Nutrition Application Fund Task Force will review and approve

applications and GBC will administer the HNAF

2 Objectives of the Initiative

The purpose of the HNAF is to advance applied nutrition and healthy eating in the Greater

Toronto Area (GTA) which may also benefit other parts of Canada

HFrsquos primary interest is to improve the diet physical health and wellness of Canadians

The HNAF leverages GBCrsquos culinary food and beverage programs as well as its Technology

Access Centre expertise and innovation experience to provide students faculty and staff

members with applied research opportunities that lead to community impact

Potential outputs may take the form of recipes menu development nutritional information

custom training and market research results These must be disseminated for easy public

access as meaningful resources



Page | 3

3 Scope














32 Eligibility









public funds)












discretionary




Page | 4








Page | 5

4 Operations










illustrated below

















Call for Proposals

bull 6 Weeks Before



Applications

Submitted




March 1]

Applications

Approved


Each New Semester

Projects

Completed


from Application


Approval Date if

applicable)

Project

Completion

Reports Filed


After Project

Completion



Page | 6















Page | 7








HNAF




decisions



FIRSt staff











application











Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 3

3 Scope














32 Eligibility









public funds)












discretionary




Page | 4








Page | 5

4 Operations










illustrated below

















Call for Proposals

bull 6 Weeks Before



Applications

Submitted




March 1]

Applications

Approved


Each New Semester

Projects

Completed


from Application


Approval Date if

applicable)

Project

Completion

Reports Filed


After Project

Completion



Page | 6















Page | 7








HNAF




decisions



FIRSt staff











application











Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 4








Page | 5

4 Operations










illustrated below

















Call for Proposals

bull 6 Weeks Before



Applications

Submitted




March 1]

Applications

Approved


Each New Semester

Projects

Completed


from Application


Approval Date if

applicable)

Project

Completion

Reports Filed


After Project

Completion



Page | 6















Page | 7








HNAF




decisions



FIRSt staff











application











Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 5

4 Operations










illustrated below

















Call for Proposals

bull 6 Weeks Before



Applications

Submitted




March 1]

Applications

Approved


Each New Semester

Projects

Completed


from Application


Approval Date if

applicable)

Project

Completion

Reports Filed


After Project

Completion



Page | 6















Page | 7








HNAF




decisions



FIRSt staff











application











Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 6















Page | 7








HNAF




decisions



FIRSt staff











application











Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 7








HNAF




decisions



FIRSt staff











application











Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 8







Internal Use]





Task Force

Funded Project 1


Funded Project 2


Funded Project N




Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 9

Exhibits



website]





Description Notes













Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 10
















Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 11












Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 12





















Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 13



























Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 14





Llewellyn Smith








David Yeung





GBC - TBD




Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 15



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 16



Not-for-profit

Charitable


Public sector






Terms










Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 17



Student Engagement















Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 18


Use]


own



















on cardiac health










Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 19






Date



Name

Address

Website


Email

Telephone Ext



Not-for-profit

Charitable


Public sector





Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 20


















Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 21

Project Costs


Total Project Cost

(cash + in-kind)






In-Kind from GBC






2 Menu Development


4 Custom Training

5 Market Research

6 Others - below

(Please specify)



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 22














Other stakeholders






Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 23

Key Personnel


Name Role

1 (Name) (Role)

2 (Name) (Role)

3 (Name) (Role)

4 (Name) (Role)


Start date

End date









Budget


Other Funding








Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 24

LEAD RESEARCHER

Name

Title

Organization Name

Co-RESEARCHER

Name

Title

Organization Name


Co-APPLICANTS


Name

Title

Organization

Phone and email











Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 25

RESEARCH ETHICS



___ No


SIGNATURES

LEAD APPLICANT

DATE

CO-APPLICANT

DATE




Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 26













Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 27

Exhibit 6


[HNAF Internal Use]













Program Objective




Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 28



Applicant Details


Project Name ______________________________

Reviewer Details

Name ______________________________

Title ______________________________

Phone ______________________________

Email ______________________________

Date ______________________________



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 29



No




No




No




No




No



No



No



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 30



No



Fund core objective





B

C

D







B

C

D



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 31







B

C

D







B

C

D



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 32


A Is not impactful





B

C

D







B

C

D



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 33







B

C

D


project





B

C

D



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 34




No


$



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 35




WITH RESPECT TO




and

_______________



following













4) Principles












Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 36







conduct the Project










Force











documentation






6) Contacts


Andrew Fraser


CHCA


416-415-5000 ext 6507

Fax




Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 37




8) Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date




Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 38

















disclosure






Disclosing Party







Information











Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 39








Signatures


Robert Luke

Vice-President


416-415-5000 ext 6713

rlukegeorgebrownca

Signature

Signature

Date Date



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000



Page | 40



201516 201617 201718 20189 Total

$50000 $130000 $135000 $85000 $400000

Documents

George Brown College / The Helderleigh Foundation Partnership · George Brown College / The Helderleigh Foundation Partnership ... George Brown College / The Helderleigh Foundation