Northern Resident Award (undergraduate)• ACUNS/AUCEN: Association of Canadian Universities for Northern Studies / Association universitaire canadienne d’études nordiques | • ACUNS/AUCEN: Association of Canadian Universities for Northern Studies / Association universitaire canadienne d’études nordiques

Application Form
Guidelines

Sample Application 1
Sample Application 2

Northern Resident Award (Undergraduate)

Please read all guidelines before completing the forms. You will not be able to save data typed into this form. Please print a copy of your completed application for your records.

General Information
1. Name:
Last name, First name
2. Contact Information:
Street AddressAddress Line 2CityProvincePostal Code
Telephone:
(123) 456-7890
Email:
3. Are you a Canadian Citizen or Permanent Resident of Canada?
- Yes
- No
4. a) Number of years you have been a resident of the North:
b) Date(s) and location(s) of northern residence:
5. Program of Study
a) University/College:
b) Program of study:
Example: BSc, Biology
c) Year in program:
d) Start date of diploma/degree:
e) Anticipated completion date (year/month):
f) Have you experienced any interruptions in your program? If so, please explain the circumstances:
6. Instructor / Project Supervisor
Please indicate the name and contact information for your instructor or project supervisor
Name:
Telephone:
(123) 456-7890 x 12345
Email:
7. Academic Background
Please list on separate lines, in order from the most current to your earliest diploma/degree program(s):
Example: BSc (2005), Geography, University of Alberta
Proposed Research Project
8. Title of Proposed Research Project:
9. Fieldwork location(s):
10. Description of proposed research: Why is this project/research important? What is the main goal for conducting this research/project?” How will you gather information/data? Where will you conduct your research? Outline how your project makes a contribution to the North. If you propose fieldwork in a circumpolar location, indicate benefit and relevance to Canadian northern scholarship. (Maximum 250 words)
11. a) Are you receiving course credit for this project?
- Yes
- No
b) Explain how (include directed studies number, if applicable):
12. Please identify your community partner on this project:
13. Tell us about the activities in which you’ve been involved in the North (voluntary, work, etc.) that show the committee that you have an interest in and commitment to the North and/or your community in the North and/or your project/research. (Maximum 250 words)
14. a) Is your research part of a team project?
- Yes
- No
b) If yes, please explain the uniqueness and the significance of your contribution to the project.
15. List recent awards or financial support you currently receive:
Indicate name, granting institution, date, and if applicable monetary value
16. Research Licence(s) / Permit(s) / Ethical Review
Your research licence/permit/ethical review (if applicable) must be approved in order to accept the award. A copy of your permit(s) may be requested if your application is successful.
Most research in the North requires a research licence. More information about research licences can be found on provincial and territorial government websites. Do you or your supervisor have a research licence? If not, when will you apply for one? If you do not require a research licence, please indicate why not.
Licence Number (if available):
I confirm that my proposed research activities are compatible with the Ethical Principles for the Conduct of Research in the North and I have taken the necessary steps to acquire the relevant research licence (s)/permit(s).
- Yes
- No
17. Submit Application
Date of CNST Application:

mm/dd/yyyy
I certify that the information provided in this application and in the accompanying documentation is true, accurate and complete. I have read and understand the CNST Program Privacy Policy in the application package. If my application is successful, I authorize the publication of my name, photo and post-secondary institution on the ACUNS website, annual report, newsletters and other publicity materials.
- Agree

Northern Resident Award (undergraduate)

Application Form
Guidelines

Northern Resident Award (Undergraduate)

General Information

5. Program of Study

6. Instructor / Project Supervisor

7. Academic Background

Proposed Research Project

16. Research Licence(s) / Permit(s) / Ethical Review

17. Submit Application

Photos

Recent Posts

Categories

Northern Resident Award (undergraduate)

Application Form Guidelines

Northern Resident Award (Undergraduate)

General Information

5. Program of Study

6. Instructor / Project Supervisor

7. Academic Background

Proposed Research Project

16. Research Licence(s) / Permit(s) / Ethical Review

17. Submit Application

Photos

Recent Posts

Categories

Application Form
Guidelines