Application Form for Safety-Related Research or Studies

APPLICANT IDENTIFICATION

Applicant Organization:

Name of the Applicant:

Position in the Organization:

Address:

Phone number:

Email address

Federal riding:

Project Description

Title of the Project

Project abstract (limit of 500 words)

Describe how your project will contribute to enhancing the safety of rail lines (limit of 250 words)

Describe the project team and their experience working on similar projects (limit 250 words)

Proposed project budget:

Requested federal funding amount:

If applicable, indicate and describe any other source(s) of funding

Project Schedule:

  • Expected start date
  • Expected end date

Proposed cashflow (for multi-year project)

Contributors 2016/2017 2017/2018 2018/19
Canada      
Other Contributors      
Total      

Describe how the federal funding be used (limit 250 words)

Describe the risk of not receiving federal funding

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