Funding occupational health research, training and education and innovative workplace solutions

CLOSING DATE

MARCH 28, 2017

NOTICE OF INTENTRESEARCH AND WORKPLACE INNOVATION PROGRAM

2017

A Notice of Intent is a prerequisite for submitting an application under the Scientific Research funding stream of the RWIP

Notice of Intent Scientific Research Applications

Administrative Requirements

Please refer to Sections 2.4 to Section 2.8 of the Applicant Information Document and use this template to complete the Notice of Intent (NOI). Please indicate with an X if this is an Initial NOI or Resubmission of a previous NOI.

Initial Application Resubmission

1. Working Title of Proposed Study/Research Project

Type here

2. Identify Research Priority Identify with an X the Research Priority that you will address. Please refer to sections 2.2 and 2.3 of the Applicant Information Document for a complete description of Research Priorities A, B and C below.

A. Comparative Analysis of WCB Retrospective Data to Determine the Efficacy of Healthcare Usage and Treatment Modalities for Optimal Return To Work Outcomes

B. Assessment, Screening, Monitoring and Control of Physical, Chemical and Biological Exposure Agents in the Workplace

C. Early Detection, Diagnosis and Treatment of Occupational Disease from a Prevention Lens

D. Other Topics within RWIP Mandate

3. Brief Description of Proposed Study/Research Project

Type here

4. Study Disciplines applicable to the Proposed Study/Research Project

RWIP 2017 1

Notice of Intent Scientific Research Applications

Type here

5. Information on the Principal Applicant/s and Co-Applicant/s to include:

Principal Applicant/sNameTitleHost InstitutionBusiness Mailing AddressTelephone NumberEmailOther contact InformationCo-Applicant/sNameTitleHost InstitutionBusiness Mailing AddressTelephone NumberEmailOther contact information

6. Brief description of WCB data if the applicant intends to use WCB data in the Proposed Study/Research Project.

Type here

7. Provide the names and contact information of two (2) Peer Reviewers for the study in the space below. Please refer to the information in sections 2.9 to 2.13 of the Applicant Information Document to assist you identify and select a peer reviewer.

PEER REVIEWER 1NameTitle

RWIP 2017 2

Notice of Intent Scientific Research Applications

Host InstitutionBusiness Mailing AddressTelephone NumberEmailOther contact informationPEER REVIEWER 2NameTitleHost InstitutionBusiness Mailing AddressTelephone NumberEmailOther contact information

RWIP 2017 3