1.1 Enter your full name - surname last

your e-mail address

1.2 Select your university or college from this list: Canadian Universities and Colleges Acadia University Carleton University Concordia University Dalhousie University École Polytechnique Montréal Lakehead University Laval University McGill University McMaster University Memorial University Queen's University Royal Military College Ryerson Polytechnic University Simon Fraser University University of Alberta University of British Columbia University of Calgary University of Guelph University of Manitoba University of New Brunswick University of Ontario Institute of Technology University of Ottawa Université du Québec à Trois-Rivières University of Regina University of Saskatchewan Université de Sherbrooke University of Toronto University of Victoria University of Waterloo University of Western Ontario University of Windsor Algonquin College Connestoga College Niagara College Red River College Saint Clair College Seneca College

Enter your IEEE membership number

your branch identification number

and your position on your IEEE student branch executive

If you are not the student branch chair, explain why you are submitting this grant application on behalf of your branch.

Step 2: Please identify the overall nature of the grant requested

2.1 Is this a grant application to upgrade an existing centre Yes No

2.2 If yes, please select the name from this list: Institutions with Centres Carleton University Concordia University Dalhousie University École Polytechnique Montréal Laval University McGill University McMaster University Memorial University Queens University Royal Military College Ryerson Polytechnic University University of Alberta University of British Columbia University of Calgary University of Guelph University of Manitoba University of New Brunswick University of Ottawa Université du Québec à Trois-Rivières University of Regina University of Saskatchewan Université de Sherbrooke University of Toronto University of Victoria University of Waterloo A University of Waterloo B University of Western Ontario Algonquin College Connestoga College Niagara College Red River College Saint Clair College Seneca College

2.3 If no, please select the name from this list: Institutions without Centres Acadia University Lakehead University Simon Frazer University University of Ontario Institute of Technology Université du Québec à Chicoutimi Université du Québec à Montréal Université du Québec à ETS Montréal University of Windsor

2.4 Enter the amount of the grant you are seeking

2.5 Enter the amount of the additional funding you have already obtained,
or have a committment for

2.6 Enter the total amount of this project (sum of 2.4 and 2.5)
note: the amount in 2.4 may not exceed 75% of the amount in 2.6

2.7 Enter a descriptive title for this project

Step 3: Please provide details about this project

3.1 Provide details of the additional funding noted in 2.5 above

3.2 Provide a list of items to be purchased along with the intended use of each item

3.3 Provide a financial plan

3.4 Provide a brief plan for long term operation of your Centre

3.5 Provide a plan for equipment maintenance and site security

3.6 If this request is for an upgrade to an existing centre, provide a status report with reference to items purchased with prior grants

Step 4: Please identify the three individuals who must provide letters of recommendation to support this application

4.1 Enter the name of your student branch counselor (as it appears in the current calendar)

and his or her e-mail address

4.2 Enter the name of your department chair (as it appears in the current calendar)

and his or her e-mail address

4.3 Enter the name of your faculty dean (as it appears in the current calendar)

and his or her e-mail address