Science Meets Parliament ON 2025 – Application

Thank you for your interest in Science Meets Parliament – Ontario 2025, unfortunately you are not eligible to apply for the program at this time. For more information, contact: sciencemeetsparliament@sciencepolicy.ca

Application Form: Science Meets Parliament – Ontario 2025 (SMP-ON 2025)

Official Name *

Preferred Name *

Select the option that best describes your current gender identity *
—Please choose an option—ManWomanNon-binaryPrefer not to sayPrefer to self-declare:

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Will you be engaging with MLAs in English or French? *
—Please choose an option—EnglishFrenchBoth, English and French

The self-identification data collected in this form will only be used to help us achieve our goal of promoting diversity and representation among the delegation, and will be permanently deleted once the application process is complete.

Do you identify yourself with any of the equity seeking groups (check all that apply): *
First Nations, Inuit, or MetisBlackNon-indigenous racialized community of CanadaLGBTQ2+A person with disabilityI prefer not to answerI don't identify with any of these groupsOther group, please specify:

Home Institution / Organization *

Faculty / Department *

Title / Role *

Work Address *

City *

Province *

Email *

Telephone *

Social Media Handle

Initial Appointment as Independent Investigator (month and year, or write NA if not applicable):*

Provide justification, if greater than 5 years since initial appointment (a non-exhaustive list: parental leave, medical leave, clinical training, family care; include number of months): *

Biography *Please note, your biography may be published if you are selected.

Please describe your current research focus. *Please note, this may be used in preparing briefing materials if you are selected.

Please describe the importance of your research to the advancement of science and knowledge and to society. *Please note, this may be used in preparing briefing materials if you are selected.

How would you describe your research and its impact to a MLA who may not have a scientific background? *Please note, this may be used in preparing briefing materials if you are selected.

Please explain how this experience may enrich your professional work as a researcher. *

How would your participation in this program benefit MPPs? *

How do you think this program impacts the broader scientific and political communities? *

Participants will be required to present a lecture about their experience at their home institution, or to detail their experience in a CSPC Featured Editorial. Please select your preferred method for dissemination. *
—Please choose an option—CSPC-Featured EditorialLecture at your home institutionBoth

Please describe any other means you will pursue to share insights and experiences gained from this program with your network and audience. *

Who is your local (residential) MPP? *https://www.ola.org/en/members/current

Who is the MPP for your institution? *

How did you hear about Science Meets Parliament? *
—Please choose an option—Social MediaNewsletterCSPC WebsiteColleaguesOther, Please Specify:

Can we add you to the CSPC mailing list? *
—Please choose an option—Yes, please add me!I am already on this list.No, I do not wish to be added to this mailing list.

Are there any other comments you wish to share with the committee?