Basic Information

To better understand the diversity of the Connected Minds applicant pool and create a more equitable and inclusive funding program, we are inviting scholarship applicants to provide self-identification data. The survey contains 17 questions and will take less than 10 minutes to complete.

This form must be completed prior to the application deadline posted on the Connected Minds Website.

Even if you are choosing not to self-identify or have chosen not to self-identify in the past we invite you to complete the self-identification form by selecting the "I prefer not to answer" option.

Please note that the self-identification information can only be accessed by the Connected Minds Program Director (Caitlin Mullin), Operations Manager (Tara Tharani), and EDI and Community Outreach Specialist (Andrew Castillo).

For the Seed Grant competition, the adjudication committee will only receive the team's diversity composition in percentage composition, but no identities will be linked to any names on the application, this is done to protect the identities of individuals. Self-identification information will be password protected and kept on a secure server only accessed by the Connected Minds staff members mentioned above. Information will remain in the server until 2037 as mandated by the Canada First Research Excellence Fund (CFREF).

If you have any questions, please feel free to email Andrew Castillo (drewcast@yorku.ca), EDI and Community Outreach Specialist for Connected Minds.

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* 1. Name (First Last)

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* 2. Name of Home Institution

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* 3. Faculty (if applicable)

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* 4. Department (if applicable)

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* 5. Name of Project

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* 6. Role in Seed Grant

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* 7. If you are NOT applying as the P.I., please indicate the name of the P.I. in the line below

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* 8. If you wish to not self-identify, click here:

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