Did you participate in Science Meets Parliament 2018 as a selected delegate? *
---YesNo Please note, former delegates (from Science Meets Parliament 2018) are excluded from consideration for SMP 2021.
Are you a current Tier II Research Chair, announced no later than January 4th, 2021, and affiliated with a Canadian post-secondary institution? *
---YesNoYes, and I identify as IndigenousNo, and I identify as Indigenous Please note, SMP 2021 is only open to researchers who currently hold a Tier II Canada Research Chair and are affiliated with a Canadian post-secondary institution, or are Indigenous researchers.
CSPC reserves the right to nominate researchers from Indigenous communities in order to have their representation in this program.
Official Name *
Preferred Name *
Will you be engaging with Parliamentarians in English or French? *
---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.
Select the option that best describes your current gender identity *
---WomanManGender-fluid,non-binary, and/or Two-SpiritI don’t identify with any option providedI prefer not to answer
Do you identify as Indigenous, that is, First Nation (North American Indian), Métis, or Inuk (Inuit)? *
---Yes - First NationsYes - InuitYes – MétisNoI prefer not to answer
Do you identify as a person with a disability? *
---YesNoI prefer not to answer
Note: Person with a disability is a person who has a long-term or recurring physical, mental, sensory, psychiatric or learning impairment and:
The Employment Equity Act defines visible minorities as "persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour". Do you identify as a member of a visible minority in Canada? *
---YesNoI prefer not to answer
Please identify the granting agency through which you have received your research chair Tier 2 funding *
---Canadian Institutes of Health ResearchNatural Sciences and Engineering Research CouncilSocial Sciences and Humanities Research CouncilN/A
Home Institution / Organization *
Faculty / Department *
Title / Role *
Work Address *
Biography *Please note, your biography may be published if you are selected.
Please describe your current research focus and collaborations, and why they are important *Please note, this may be used in preparing briefing materials if you are selected.
How would you describe your research to a parliamentarian who may not have a scientific background? *Please note, this may be used in preparing briefing materials if you are selected.
Why do you think the Science Meets Parliament initiative is important for academics, parliamentarians, and the country? *
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) Member of Parliament (MP)? *http://www.ourcommons.ca/Parliamentarians/en/members
Who is the Member of Parliament (MP) for your institution? *
How did you hear about Science Meets Parliament? *
---Social MediaNewsletterCSPC WebsiteFriendsOther, Please Specify
Would you like to receive communications about other news and opportunities from CSPC and the Office of the Chief Science Advisor? *
---Yes, please share my email!I am already receiving information from themNo, I do not wish to receive more information
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